• Am J Manag Care · Feb 2021

    Observational Study

    Mortality risk stratification can predict readmissions but not length of stay.

    • Anupam Ashutosh Sule, Rachel Sarah Dada, and Jafar Dada.
    • St Joseph Mercy Oakland, Administration Ste, 44405 Woodward Ave, Pontiac, MI 48341. Email: Anupam.a.sule@stjoeshealth.org.
    • Am J Manag Care. 2021 Feb 1; 27 (2): 66-71.

    ObjectivesTo determine whether the mortality risk stratification (MORIS) strata can predict outcomes including mortality, readmission, and discharge disposition for specific diagnoses.Study DesignRetrospective, observational study for hospitalized patients in 2016-2017 at an urban, medium-sized, community tertiary care hospital. All admitted patients with 1 of the following diagnoses were included in this study: acute myocardial infarction, chronic obstructive pulmonary disease, congestive heart failure, pneumonia, and sepsis.MethodsNo interventions were applied in this retrospective study. Data collected from patients admitted under 1 of the 5 diagnoses included mortality, length of stay (LOS), readmission, and discharge disposition.ResultsMORIS strata can predict condition-specific mortality and readmissions but not length of stay or discharge disposition.ConclusionsStewardship of resources is necessary to obtain high value in care. A long LOS, discharge to skilled nursing facilities, and unplanned readmissions contribute to a significant utilization of resources. The MORIS strata are useful in predicting disease-specific mortality and readmission, but they are not useful in predicting LOS or discharge disposition.

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