1. GUARANTEE OF CARE: What is acceptable readmission Ilkka Vohlonen, Professor Health Policy Eastern Finland University Casemix Conference Helsinki, Finland,

2. CONTENTS 1. Definition of readmission
2. Other defintions of outcome quality
Recovery period
Incapability to work
3. Factors influencing the hospital´s success
In-flow and out-flow of patients
Role of primary care in relation to inpatient care
4. Factors determining readmission
5. Conclusions

4. Period of recovery after discharge
City of Oulu City of Lahti
PERIOD OF
RECOVERY
Less than a week 51% 48%
1-4 weeks 23% 25%
1mnth-3mnths 15% 9%

5. Ischaemic heart disease 1997-1999 - 2000-2002
Before
Hospital
After
Sick leave (days)

6. Ischaemic heart disease 1997-1999 vs 2000-2002
before
hospital
after

7. University hospitals

8. University hospitals

13. FACTORS DETERMINING READMISSION

14. CONCLUSION
In Finland
the most important factors determining readmission are
I. Process related failures
II. Outcome failures
III. Structural failures