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Patient Portal Use and Risk of Readmissions in Decompensated Cirrhosis: Retrospective Study

Patient Portal Use and Risk of Readmissions in Decompensated Cirrhosis: Retrospective Study

Many readmissions may be prevented through augmented ambulatory care and monitoring [3]. Interventions to decrease the burden of liver disease have focused primarily on increasing outpatient monitoring through the use of early patient follow-up after hospitalization and specialized clinics [4]. More recently, there have been efforts to use telehealth tools with a specific focus on asynchronous care and remote patient monitoring [5-7].

Jeremy Louissaint, Jeffrey Gibbs, Abhishek Shenoy, Shirley Cohen-Mekelburg, Anna Lok, Elliot Tapper

JMIR Form Res 2023;7:e47080

The Impact of Health Information Exchange on In-Hospital and Postdischarge Mortality in Older Adults with Alzheimer Disease Readmitted to a Different Hospital Within 30 Days of Discharge: Cohort Study of Medicare Beneficiaries

The Impact of Health Information Exchange on In-Hospital and Postdischarge Mortality in Older Adults with Alzheimer Disease Readmitted to a Different Hospital Within 30 Days of Discharge: Cohort Study of Medicare Beneficiaries

This happens in approximately 25% of all readmissions nationally and is associated with poor patient outcomes, including higher in-hospital mortality and longer lengths of stay [7-10]. Information discontinuity is one potential driver of poor outcomes in fragmented readmissions: because a patient’s medical record may not be available at the readmission hospital, the care team may be making decisions with incomplete clinical information.

Sara Turbow, Camille P Vaughan, Steven D Culler, Kenneth W Hepburn, Kimberly J Rask, Molly M Perkins, Carolyn K Clevenger, Mohammed K Ali

JMIR Aging 2023;6:e41936

Predicting Readmission Charges Billed by Hospitals: Machine Learning Approach

Predicting Readmission Charges Billed by Hospitals: Machine Learning Approach

Readmissions have been a significant contributor to rising health care costs. The hospital cost associated with 30-day all-cause readmissions was approximately US $41.3 billion for 2011 [4]. Even before the pandemic, annual hospital readmission costs were approximately US $26 billion for Medicare alone [5]. The pandemic caused a further increase in readmission costs [6].

Deepika Gopukumar, Abhijeet Ghoshal, Huimin Zhao

JMIR Med Inform 2022;10(8):e37578

A Virtual Cardiovascular Care Program for Prevention of Heart Failure Readmissions in a Skilled Nursing Facility Population: Retrospective Analysis

A Virtual Cardiovascular Care Program for Prevention of Heart Failure Readmissions in a Skilled Nursing Facility Population: Retrospective Analysis

The authors found that there were no significant differences in hospital readmissions, emergency room visits, or death between the 2 groups. The no-show rate with virtual visits also trended lower than the rate for in-person visits [10]. The COVID-19 pandemic propelled virtual care to center stage in 2020 given the need to reduce exposure risk among both health care workers and patients, particularly in the SNF setting.

Daniel M Friedman, Jana M Goldberg, Rebecca L Molinsky, Mark A Hanson, Adam Castaño, Syed-Samar Raza, Nodar Janas, Peter Celano, Karen Kapoor, Jina Telaraja, Maria L Torres, Nayan Jain, Jeffrey D Wessler

JMIR Cardio 2021;5(1):e29101

Evaluating Patient-Centered Mobile Health Technologies: Definitions, Methodologies, and Outcomes

Evaluating Patient-Centered Mobile Health Technologies: Definitions, Methodologies, and Outcomes

Several recently published studies and consensus statements have demonstrated that there is only modest (and in many cases, low-quality) evidence that m Health can improve patient clinical outcomes such as lengths of stay or reduction of readmissions [6-9]. There is also uncertainty as to whether m Health can improve patient-centered outcomes such as patient engagement or patient satisfaction [6-10].

Courtenay Bruce, Patricia Harrison, Charlie Giammattei, Shetal-Nicholas Desai, Joshua R Sol, Stephen Jones, Roberta Schwartz

JMIR Mhealth Uhealth 2020;8(11):e17577