Hospital readmission rate has been a long-considered quality of care indicator in adult medicine, albeit with mixed reviews.1,2  As we begin to grapple with the quality significance and preventability of readmissions in pediatrics, however, we are outpaced by movement in the insurance industry. Section 3025 of the Affordable Care Act requires the Centers for Medicare and Medicaid Services to reduce payments to hospitals with excess readmissions, effective for discharges beginning on October 1, 2012. Although the Centers for Medicare and Medicaid Services started with targeting only 3 adult diagnoses, they are currently considering expansion of the number of diagnoses for which reimbursement will be decreased for hospitals with high readmission rates, and that consideration includes pediatric diagnoses such as “pneumonia due to respiratory syncytial virus” (International Classification of Diseases, 9th Revision, code 480.1).

In this edition of Pediatrics, Dr. Berdach and colleagues studied a...

You do not currently have access to this content.