We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Further Limitations of the HOSPITAL Score in US Hospitals—Reply

Jacques D. Donzé, MD, MSc1,2,3; Jeffrey L. Schnipper, MD, MPH2,3
[+] Author Affiliations
1Division of General Internal Medicine, Bern University Hospital, Bern, Switzerland
2Division of General Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
3Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2016;176(8):1233. doi:10.1001/jamainternmed.2016.3822.
Text Size: A A A
Published online


In Reply The aim of any prediction model for readmission is to identify the patients who are most likely to benefit from intensive transitional care interventions. In our study,1 we use risk for potentially avoidable readmissions as a proxy for that outcome. While this is different from the Centers for Medicare and Medicaid Services (CMS) definition, the outcome is closer to the desired goal than all-cause readmissions. Of note, we have tested the HOSPITAL score for the particular diagnoses that are part of the CMS Readmissions Reduction Program, and the HOSPITAL score showed good performance (manuscript in preparation).


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





August 1, 2016
Oanh Kieu Nguyen, MD, MAS; Ethan A. Halm, MD, MPH; Anil N. Makam, MD, MAS
1Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas2Department of Clinical Sciences, UT Southwestern Medical Center, Dallas, Texas
JAMA Intern Med. 2016;176(8):1232-1233. doi:10.1001/jamainternmed.2016.3816.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...