July 10, 2009Circulation Cardiovascular Quality and Outcomes
Patterns of Hospital Performance in Acute Myocardial Infarction and Heart Failure 30-Day Mortality and Readmission
Population
Medicare fee-for-service beneficiaries ages 65 years or older with a primary diagnosis of acute myocardial…
Design
Cohort
Follow-up
30-day
Authors
Discussion
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Member takes
Implication
Variation in 30-day AMI and HF outcomes warrants local review; leaves open whether interventions can reduce hospital-level differences.
Structured PICO
P
Population
Medicare fee-for-service beneficiaries ages 65 years or older with a primary diagnosis of acute myocardial infarction (AMI) or heart failure (HF), discharged between July 2005 and June 2008.
O
Outcome
30-day mortality and readmission rateshard clinical
There is significant geographic and hospital-level variation in 30-day mortality and readmission rates for AMI and HF among Medicare beneficiaries, with readmission rates being particularly high.
Cite This Study
Krumholz et al. (2009) studied this question.