A program called Hospital Readmissions Reduction Program (HRRP) was designed to reduce hospital readmission increases the rate of death among heart failure patients.
Getting Heart Patients to Stay on Medication may Not Help Them Avoid Hospital Readmission
A targeted effort to ensure that high-risk heart failure patients followed their medication program did manage to improve adherence to drug regimens.
A targeted effort to ensure that high-risk heart failure patients followed their medication program did manage to improve adherence to drug regimens.
‘Scientists suggest to carefully reconsider the use of Hospital Readmissions Reduction Program (HRRP) for patients with heart failure.’
The Affordable Care Act of 2010 established the Hospital Readmissions Reduction Program (HRRP), which involved public reporting of hospitals' 30-day readmission rates for heart failure, heart attack, and pneumonia and created financial penalties for hospitals with higher readmissions. However, incentives to reduce readmissions can potentially encourage inappropriate care strategies and may adversely affect patient outcomes.
Nearly, 115,245 fee-for-service Medicare patients from 416 hospital sites.
Study Examines Hospital Readmission Rates After Inpatient Rehabilitation
Twelve percent of Medicare patients who receive inpatient rehabilitation following discharge from acute-care hospitalization are readmitted to the hospital within 30 days after discharge from the rehabilitation centre.
Twelve percent of Medicare patients who receive inpatient rehabilitation following discharge from acute-care hospitalization are readmitted to the hospital within 30 days after discharge from the rehabilitation centre.
The risk of hospital readmission or death 30 days and one year after discharge.This was an observational study.
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For Reducing Avoidable Hospital Readmissions Program may Hold Promise
Financial penalties imposed on hospitals that experience excessive patient readmissions within 30 days by recent federal legislation.
Financial penalties imposed on hospitals that experience excessive patient readmissions within 30 days by recent federal legislation.
The author Gregg C. Fonarow, M.D., of the Ronald Reagan-UCLA Medical Center, Los Angeles, and Associate Editor of the Health Care Quality and Guidelines section, JAMA Cardiology, and coauthors.
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Cardiologists Treating Heart Failure Patients Could Lead to Fewer Hospital Readmissions
Results of a new study reveal that hospital readmission rates can be reduced among heart failure patients if they are attended by cardiologist, and not a hospitalist.
Results of a new study reveal that hospital readmission rates can be reduced among heart failure patients if they are attended by cardiologist, and not a hospitalist.
This is a patient-level analysis of readmissions and mortality and does not directly establish the association of change in readmission rate at a given hospital with change in its mortality rate.
These findings raise concerns that the HRRP, while achieving desired reductions in readmissions, may be associated with compromised survival of patients with heart failure.
If the findings are confirmed they may require reconsideration of use of the HRRP penalties program for patients with heart failure.
Source-Eurekalert
