Life-threatening bleeds (LTB) from arteriovenous fistulas or grafts are significant bleeds which are not stopped by application of a normal amount of pressure as is commonly used to stop bleeding after dialysis needle removal. In many cases they occur spontaneously at home between dialysis sessions, away from the clinic or caregiving team. Although access-related LTBs are not common, they can result in the loss of the patient’s access and even be fatal.
Beginning in 2016, most U.S. hospitals will receive less money from Medicare due to the number of patients who return within 30 days of discharge.
Newly released data from the Centers for Medicare and Medicaid Services (CMS) reveals only 799 out of more than 3,400 hospitals subject to the Hospital Readmissions Reduction Program faced no penalty.