Improving Heart Failure Readmission Costs and Outcomes With a Hospital-to-Home Readmission Intervention Program
| Autor: | Kenneth W. Scully, Sula Mazimba, Jamie L.W. Kennedy, Wayne C. Levy, Timothy Welch, Travis J. Moss, Mohammed Abuannadi, George J. Stukenborg, Juanita Reigle, Bryan T Lawlor, Carolyn Brady, James D. Bergin, S. Craig Thomas, Kenneth C. Bilchick |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Staffing Logistic regression Patient Readmission 03 medical and health sciences 0302 clinical medicine Risk Factors THIRTY-DAY Humans Medicine 030212 general & internal medicine Aged Retrospective Studies Heart Failure Intervention program business.industry 030503 health policy & services Health Policy Retrospective cohort study Odds ratio Middle Aged medicine.disease Patient Discharge Cost savings Heart failure Emergency medicine Female 0305 other medical science business Follow-Up Studies |
| Zdroj: | American Journal of Medical Quality. 34:127-135 |
| ISSN: | 1555-824X 1062-8606 |
| DOI: | 10.1177/1062860618788436 |
| Popis: | A retrospective cohort study was performed of the Hospital-to-Home (H2H) program, a rapid clinic follow-up program for patients with recent heart failure (HF) admissions at the University of Virginia Health System. There were 6761 hospitalizations among 4685 patients (age 67.5 ± 14.2 years, 43.9% female), and 759 had H2H follow-up. Thirty day mortality after the initial HF hospitalization was lower in H2H patients (1.84% vs 3.13%; P = .049), and this difference remained significant after adjustment in a multivariable logistic regression model (odds ratio = 0.56 [95% CI = 0.31-099]; P = .046). There also was a 24% reduction in readmission days within the first 30 days after the index admission ( P < .0001), and readmission cost savings were found to be greater than the costs of staffing the H2H clinic. In summary, the H2H program is cost-effective, with significant improvements in survival, readmission days, and readmission costs over 30 days. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|