Regional Hospital Collaboration and Outcomes in Medicare Heart Failure Patients See You in 7》.pdf
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Regional Hospital Collaboration and Outcomes in Medicare Heart Failure Patients See You in 7》.pdf
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Regional Hospital Collaboration
and Outcomes in Medicare
Heart Failure Patients
See You in 7
Harolyn Baker, MPH,* Sandra Oliver-McNeil, DNP,y Lili Deng, MD, MS,* Scott L. Hummel, MD, MSzx
ABSTRACT
OBJECTIVES The objective of this study was to evaluate an interhospital collaborative approach to improve 7-day
post-discharge follow-up (7dFU) rates and reduce 30-day readmissions in heart failure (HF) patients.
BACKGROUND Early post-discharge follow-up after HF hospitalization is associated with lower 30-day readmission
rates.
METHODS Observational analyses of Medicare HF patients discharged from 10 collaborating hospitals (CH) participating
in the Southeast Michigan See You in 7 Collaborative were carried out. We compared pre-intervention (May 1, 2011 to
April 30, 2012) and intervention (May 1, 2012 to April 30, 2013) 7dFU rates, unadjusted 30-day readmissions, risk-
standardized 30-day readmissions (RSRR), and Medicare payments in CH and Michigan nonparticipating hospitals (NPH).
RESULTS 7dFU rates increased but remained low in both groups (CH: 31.1% to 34.4%; p 0.001; NPH: 30.2% to
32.6%; p 0.001). During the intervention period, unadjusted readmissions decreased significantly in both groups (CH:
29.0% to 27.3%; p 0.001; NPH: 26.4% to 25.8%, p ¼ 0.004); mean RSRR decreased more in CH than in NPH (CH:
31.1% to 28.5%; p 0.001; NPH: 26.7% to 26.1%, p ¼ 0.02; p ¼ 0.015 for intergroup comparisons). Findings w
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