Non-Preventable Readmissions Are Assigned to One of 7 Categories:

1. Not Clinically Related

2. Clinically Related, but not preventable

3. Planned

4. Trauma

5. Obstetric

6. Major Malignancy

7. Other (Transplants, Malfunctions)

Classification of Non-Preventable Surgical Rehospitalizations (Florida, 2004-05)

Surgical Readmissions

Trauma4%

Not Preventable26%

Planned10%

Obstetric2%

Malignancy4%

Other1%

Not Clinically Related

53%

Classification of Non-Preventable Medical Rehospitalizations (Florida, 2004-05)

Medical Readmissions

Not Clinically Related

37%

Trauma2%

Not Preventable22%

Planned22%

Obstetric12%

Malignancy4%

Other1%

Potentially Preventable Readmissions Fall into One of 6 Categories

1. Medical-Same: Medical readmission for a continuation or recurrence of the reason for the initial admission

2. Medical-Chronic: Medical readmission for an acute decompensation of a chronic problem unrelated to the reasons for the initial admission, but likely related to pre- or post–discharge care

3. Medical-Complication: Medical readmission for an acute medical complication plausibly related to care in the initial admission

4. Surgical-Same: Readmission for a surgical procedure to address a continuation or a recurrence of the problem causing the initial admission

5. Surgical-Complication: Readmission for a surgical procedure to address a complication resulting from care in the initial admission.

6. Mental Health: Readmission for a mental health or substance abuse problem

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Surgical Major Diagnostic Category

Surgical Initial Admissions: Reasons for Readmissions By Major Diagnostic Categories

1 - Medical RA - Same Problem

2 - Medical RA - Chronic Problem

3 - Medical RA - Complication

4 - Surgical RA - Same Problem

5 - Surgical RA - Complication

6 - Mental Health & Substance Abuse

Med - Compl

Med-Chronic

Med-Same

Surg-Same

Surg-Compl

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Medical Major Diagnostic Category

Medical Initial Admissions: Readmission Reasons By Major Diagnostic Categories

1 - Medical RA - Same Problem

2 - Medical RA - Chronic Problem

3 - Medical RA - Complication

4 - Surgical RA - Same Problem

5 - Surgical RA - Complication

6 - Mental Health & Substance Abuse

Mental Hlth

Med-Chronic

Med-Compl

Med-Same