naa a22 4500 510782043 CHVBK 20180411083250.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s11414-013-9323-5 doi (NATIONALLICENCE)springer-10.1007/s11414-013-9323-5 Hospital Readmission Among Medicaid Patients with an Index Hospitalization for Mental and/or Substance Use Disorder [Elektronische Daten] [Tami Mark, Karen Tomic, Niranjana Kowlessar, Bong Chu, Rita Vandivort-Warren, Shelagh Smith] Hospital readmission rates are increasingly used as a performance indicator. Whether they are a valid, reliable, and actionable measure for behavioral health is unknown. Using the MarketScan Multistate Medicaid Claims Database, this study examined hospital- and patient-level predictors of behavioral health readmission rates. Among hospitals with at least 25 annual admissions, the median behavioral health readmission rate was 11% (10th percentile, 3%; 90th percentile, 18%). Increased follow-up at community mental health centers was associated with lower probabilities of readmission, although follow-up with other types of providers was not significantly associated with hospital readmissions. Hospital average length of stay was positively associated with lower readmission rates; however, the effect size was small. Patients with a prior inpatient stay, a substance use disorder, psychotic illness, and medical comorbidities were more likely to be readmitted. Additional research is needed to further understand how the provision of inpatient services and post-discharge follow-up influence readmissions. Springer Science+Business Media, LLC (outside the USA), 2013 Mark Tami Truven Health Analytics, 7700 Old Georgetown Road, Ste GSO, 20814, Bethesda, MD, USA aut Tomic Karen Oxford PharmaGenesis, 18940, Newtown, PA, USA aut Kowlessar Niranjana Truven Health Analytics, 7700 Old Georgetown Road, Ste GSO, 20814, Bethesda, MD, USA aut Chu Bong Truven Health Analytics, 7700 Old Georgetown Road, Ste GSO, 20814, Bethesda, MD, USA aut Vandivort-Warren Rita Health Resources and Services Administration, Rockville, MD, USA aut Smith Shelagh Substance Abuse and Mental Health Services Administration, Rockville, MD, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/2(2013-04-01), 207-221 1094-3412 40:2<207 2013 40 11414 https://doi.org/10.1007/s11414-013-9323-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-013-9323-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mark Tami Truven Health Analytics, 7700 Old Georgetown Road, Ste GSO, 20814, Bethesda, MD, USA aut NATIONALLICENCE 700 1- Tomic Karen Oxford PharmaGenesis, 18940, Newtown, PA, USA aut NATIONALLICENCE 700 1- Kowlessar Niranjana Truven Health Analytics, 7700 Old Georgetown Road, Ste GSO, 20814, Bethesda, MD, USA aut NATIONALLICENCE 700 1- Chu Bong Truven Health Analytics, 7700 Old Georgetown Road, Ste GSO, 20814, Bethesda, MD, USA aut NATIONALLICENCE 700 1- Vandivort-Warren Rita Health Resources and Services Administration, Rockville, MD, USA aut NATIONALLICENCE 700 1- Smith Shelagh Substance Abuse and Mental Health Services Administration, Rockville, MD, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/2(2013-04-01), 207-221 1094-3412 40:2<207 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer