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October 1, 2018Health Affairs

The Effect Of The Hospital Readmissions Reduction Program On Readmission And Observation Stay Rates For Heart Failure

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Why the study?

Does the Hospital Readmissions Reduction Program shift heart failure readmissions to observation status?

Population

Medicare patients with heart failure returning to the hospital

Comparison

Hospital Readmissions Reduction Program 30-day… vs Patients returning immediately after the 30-day…

Design

Cohort

Authors

JAJordan AlbrittonRTI InternationalTBThomas W. BelnapIntermountain HealthcareLSLucy A. SavitzUniversity of Pittsburgh

Discussion

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Implication

No evidence of HRRP-driven shift to observation status for HF; leaves open effects in non-penalized hospitals or on other outcomes.

Structured PICO

Does the Hospital Readmissions Reduction Program shift heart failure readmissions to observation status?

P
Population
Medicare patients with heart failure returning to the hospital
I
Intervention
Hospital Readmissions Reduction Program (HRRP) 30-day penalty cutoff
C
Comparator
Patients returning immediately after the 30-day cutoff
O
Outcome
Rate of observation stays versus readmissions

The Hospital Readmissions Reduction Program did not broadly shift heart failure readmissions to observation stays, though some nonpenalized hospitals showed a slight increase in observation stays just before the 30-day penalty cutoff.

Cite This Study

Albritton et al. (2018) studied this question.

synapsesocial.com/papers/6a797e8214b028facf0dcefehttps://doi.org/10.1377/hlthaff.2018.0064

Topics

HFrEF treatmentHeart failureHeart failure hospitalization
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Association Between the Quality of Inpatient Care and Early Readmission1997 · 375 citations
  2. 2Rehospitalizations among Patients in the Medicare Fee-for-Service Program2009 · 5,230 citations
  3. 3The Medicare Hospital Readmissions Reduction Program: Potential Unintended Consequences for Hospitals Serving Vulnerable Populations2014 · 134 citations
  4. 4Rethinking Thirty-Day Hospital Readmissions: Shorter Intervals Might Be Better Indicators Of Quality Of Care2016 · 114 citations
  5. 5Risk Prediction Models for Hospital Readmission2011 · 1,743 citations