The heart failure readmission quagmire: taking a deep dive to find solutions

Khera, Rohan; Pandey, Ambarish

doi:10.1002/ejhf.1082

Cited by 2 publications

(2 citation statements)

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“…1 Acute myocardial infarction (AMI), heart failure (HF), and pneumonia were the 3 conditions included in the program at its inception, and the HRRP sought to improve health system performance and reduce readmissions for these conditions by creating financial incentives for hospitals to invest in improved clinical care of patients during and after hospitalization. [1][2][3] The HRRP implemented financial penalties at hospitals with rates of 30-day readmission for these 3 conditions in excess of the national average. The introduction of the program was associated with a substantial reduction in readmissions nationally.…”

Section: Introductionmentioning

confidence: 99%

“…The Hospital Readmissions Reduction Program (HRRP) was introduced in 2010 with the goal of reducing early readmissions following hospitalization for common medical conditions . Acute myocardial infarction (AMI), heart failure (HF), and pneumonia were the 3 conditions included in the program at its inception, and the HRRP sought to improve health system performance and reduce readmissions for these conditions by creating financial incentives for hospitals to invest in improved clinical care of patients during and after hospitalization . The HRRP implemented financial penalties at hospitals with rates of 30-day readmission for these 3 conditions in excess of the national average.…”

Section: Introductionmentioning

confidence: 99%

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Association of the Hospital Readmissions Reduction Program With Mortality During and After Hospitalization for Acute Myocardial Infarction, Heart Failure, and Pneumonia

et al. 2018

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Key Points Question Was the announcement or implementation of the Hospital Readmissions Reduction Program (HRRP) associated with an increase in mortality following hospitalization for acute myocardial infarction, heart failure, or pneumonia among Medicare beneficiaries? Findings In this cohort study, between 2006 and 2014, in-hospital mortality decreased for the 3 conditions while 30-day postdischarge mortality decreased for acute myocardial infarction but increased for heart failure and pneumonia. Before the announcement of the HRRP, postdischarge mortality was stable for acute myocardial infarction and increasing for heart failure and pneumonia, and there were no inflections in slope around the announcement or implementation of the HRRP. Meaning There was no evidence for increase in in-hospital or postdischarge mortality associated with the HRRP announcement or implementation—a period with substantial reductions in readmissions.

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