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Cited by 346

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Hospital Strategies Associated With 30-Day Readmission Rates for Patients With Heart Failure

Open access
Bradley, Elizabeth H., Curry, Leslie, Horwitz, Leora I., Sipsma, Heather, Wang, Yongfei, Walsh, Mary Norine, Goldmann, Don, White, Neal, Piña, Ileana L., Krumholz, Harlan M.·2013·Circulation: Cardiovascular Quality and Outcomes

Abstract

Background—: Reducing hospital readmission rates is a national priority; however, evidence about hospital strategies that are associated with lower readmission rates is limited. We sought to identify hospital strategies that were associated with lower readmission rates for patients with heart failure. Methods and Results—: Using data from a Web-based survey of hospitals participating in national quality initiatives to reduce readmission (n=599; 91% response rate) during 2010–2011, we constructed a multivariable linear regression model, weighted by hospital volume, to determine strategies independently associated with risk-standardized 30-day readmission rates (RSRRs) adjusted for hospital teaching status, geographic location, and number of staffed beds. Strategies that were associated with lower hospital RSRRs included the following: (1) partnering with community physicians or physician groups to reduce readmission (0.33% percentage point lower RSRRs; P =0.017), (2) partnering with local hospitals to reduce readmissions (0.34 percentage point; P =0.020), (3) having nurses responsible for medication reconciliation (0.18 percentage point; P =0.002), (4) arranging follow-up appointments before discharge (0.19 percentage point; P =0.037), (5) having a process in place to send all discharge paper or electronic summaries directly to the patient’s primary physician (0.21 percentage point; P =0.004), and (6) assigning staff to follow up on test results that return after the patient is discharged (0.26 percentage point; P =0.049). Although statistically significant, the magnitude of the effects was modest with individual strategies associated with less than half a percentage point reduction in RSRRs; however, hospitals that implemented more strategies had significantly lower RSRRs (reduction of 0.34 percentage point for each additional strategy). Conclusions—: Several strategies were associated with lower hospital RSRRs for patients with heart failure.

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Crossref · 10.1161/circoutcomes.111.000101

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Metadata

Authors
Bradley, E. H., Curry, L., Horwitz, L. I., Sipsma, H., Wang, Y., Walsh, M. N., Goldmann, D., White, N., Piña, I. L., & Krumholz, H. M.
Venue
Circulation: Cardiovascular Quality and Outcomes
Published
2013-07
Volume
6
Issue
4
Pages
444-450
ISSN
  • 1941-7705 (ISSN-L)
  • 1941-7713
OpenAlex
W2166510144
Cited by
346
References
36
FWCI
23.52
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Hospital Strategies Associated With 30-Day Readmission Rates for Patients With Heart Failure. https://app.cochat.ai/papers/10.1161/circoutcomes.111.000101
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Bradley, E. H., Curry, L., Horwitz, L. I., Sipsma, H., Wang, Y., Walsh, M. N., Goldmann, D., White, N., Piña, I. L., & Krumholz, H. M. (2013). Hospital Strategies Associated With 30-Day Readmission Rates for Patients With Heart Failure. Circulation: Cardiovascular Quality and Outcomes. https://doi.org/10.1161/circoutcomes.111.000101

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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