Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals
On November 17, 2016. CHIA and Collaborative Healthcare Strategies presented a webinar that examined the ways in which behavioral health conditions influence the risk of hospital readmissions.
Based on the hospital inpatient discharge data for SFY 2014, CHIA found that there was a high prevalence of behavioral health comorbidities among hospitalized adults in Massachusetts acute care hospitals. The readmission rate for patients with behavioral health comorbidities was substantially higher than for patients without any behavioral health comorbidity.
This report’s findings suggest that policy makers, patients, families, and others in the health care community should be more aware of the increased readmission risk of any hospitalized patients with a behavioral health comorbidity, and efforts to reduce avoidable readmissions should include identifying risk factors associated with this group.
- 40% of hospitalized patients had at least one comorbid behavioral health condition; 61% of hospitalized Medicaid patients had a comorbid behavioral health condition.
- Hospitalized patients with any behavioral health comorbidity were 77% more likely to be readmitted than those without behavioral health comorbidity (20.2% vs. 11.4%).
- Hospitalized Medicaid patients with comorbid co-occurring mental and substance use conditions were three times more likely to be readmitted than those without any behavioral health comorbidity (26.6% vs. 9.0%).
- Young adults (age 18-44) with a behavioral health comorbidity were nearly three times more likely to be readmitted than those without any behavioral health comorbidity (18.0% vs. 6.5%).
The accompanying databook contains additional information, while the technical appendix provides technical details related to data sources, categorization, and analysis.
See Main Hospital Readmissions Web Page