A Pay-for-Performance Initiative to Reduce Pediatric Psychiatric Inpatient Length of Stay.
Adolescent
Child
Child Health Services
/ statistics & numerical data
Connecticut
Humans
Length of Stay
/ statistics & numerical data
Medicaid
/ statistics & numerical data
Mental Disorders
/ therapy
Mental Health Services
/ statistics & numerical data
Outcome and Process Assessment, Health Care
/ statistics & numerical data
Patient Readmission
/ statistics & numerical data
Reimbursement, Incentive
/ statistics & numerical data
United States
Admissions and readmissions
Adolescents/adolescence
Child psychiatry/general
Quality improvement
Utilization patterns and review
Journal
Psychiatric services (Washington, D.C.)
ISSN: 1557-9700
Titre abrégé: Psychiatr Serv
Pays: United States
ID NLM: 9502838
Informations de publication
Date de publication:
01 02 2019
01 02 2019
Historique:
pubmed:
6
11
2018
medline:
9
4
2020
entrez:
6
11
2018
Statut:
ppublish
Résumé
This column presents results of a pay-for-performance (P4P) initiative to reduce psychiatric inpatient length of stay for Medicaid-covered youths at eight hospitals in Connecticut in 2008 (N=715), 2009 (N=1,408), and 2010 (N=782). Compared with the 2007 baseline, average length of stay decreased by 25% (from 18.1 to 13.6 days) by the end of the P4P program, with concurrent nonsignificant decreases in 7- and 30-day readmissions. Readmitted youths tended to access postdischarge care sooner and use more community-based services during the first 180 days postdischarge. Additional research is needed, but the P4P program appears to have contributed to shortening inpatient stay without apparent adverse outcome on increases in postdischarge service use.
Identifiants
pubmed: 30394181
doi: 10.1176/appi.ps.201800190
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM