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Comment & Response
August 2016

Further Limitations of the HOSPITAL Score in US Hospitals—Reply

Author Affiliations
  • 1Division of General Internal Medicine, Bern University Hospital, Bern, Switzerland
  • 2Division of General Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
  • 3Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2016;176(8):1233. doi:10.1001/jamainternmed.2016.3822

In Reply The aim of any prediction model for readmission is to identify the patients who are most likely to benefit from intensive transitional care interventions. In our study,1 we use risk for potentially avoidable readmissions as a proxy for that outcome. While this is different from the Centers for Medicare and Medicaid Services (CMS) definition, the outcome is closer to the desired goal than all-cause readmissions. Of note, we have tested the HOSPITAL score for the particular diagnoses that are part of the CMS Readmissions Reduction Program, and the HOSPITAL score showed good performance (manuscript in preparation).

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