Journal ArticleDOI
Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization.
Luke O. Hansen,Jeffrey L. Greenwald,Tina Budnitz,Eric E. Howell,Lakshmi Halasyamani,Greg Maynard,Greg Maynard,Arpana R. Vidyarthi,Eric A. Coleman,Mark V. Williams +9 more
TLDR
Participation in Project BOOST appeared to be associated with a decrease in readmission rates, and pre-post changes in readmissions rates and length of stay within BOO ST units, and between BOOst units and site-designated control units.Abstract:
BACKGROUND
Rehospitalization is a prominent target for healthcare quality improvement and performance-based reimbursement. The generalizability of existing evidence on best practices is unknown.
OBJECTIVE
To determine the effect of Project BOOST (Better Outcomes for Older adults through Safe Transitions) on rehospitalization rates and length of stay.
DESIGN
Semicontrolled pre–post study.
SETTING/PARTICIPANTS
Volunteer sample of 11 hospitals varying in geography, size, and academic affiliation.
INTERVENTION
Hospitals implemented Project BOOST-recommended tools supported by an external quality improvement physician mentor.
METHODS
Pre–post changes in readmission rates and length of stay within BOOST units, and between BOOST units and site-designated control units.
RESULTS
The average rate of 30-day rehospitalization in BOOST units was 14.7% prior to implementation and 12.7% 12 months later (P = 0.010), reflecting an absolute reduction of 2% and a relative reduction of 13.6%. Rehospitalization rates for matched control units were 14.0% in the preintervention period and 14.1% in the postintervention period (P = 0.831). The mean absolute reduction in readmission rates in BOOST units compared to control units was 2.0% (P = 0.054 for signed rank test comparing differences in readmission rate reduction in BOOST units compared to site-matched control units).
CONCLUSIONS
Participation in Project BOOST appeared to be associated with a decrease in readmission rates. Journal of Hospital Medicine 2013;8:421–427. © 2013 Society of Hospital Medicineread more
Citations
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Journal ArticleDOI
National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Guidelines for the Prevention, Detection, and Management of Heart Failure in Australia 2018
John Atherton,Andrew Sindone,Carmine G. De Pasquale,Andrea Driscoll,Peter S. Macdonald,Ingrid Hopper,Peter M. Kistler,Tom Briffa,James Wong,Walter P. Abhayaratna,Liza Thomas,Ralph Audehm,Phillip J. Newton,Joan O'Loughlin,Marie Branagan,Cia Connell +15 more
TL;DR: This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Understanding Why Patients With COPD Get Readmitted: A Large National Study to Delineate the Medicare Population for the Readmissions Penalty Expansion
TL;DR: In this paper, the authors analyzed claims data from 2006 to 2010 in seven states, with an index admission for COPD defined by discharge International Classification of Diseases, Ninth Revision, codes as stipulated in the HRRP guidelines.
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COPD Readmissions: Addressing COPD in the Era of Value-based Health Care
TL;DR: Challenges for improving overall COPD care quality and specifically for the Hospital Readmissions Reduction Program are outlined, risk factors for early readmissions after acute exacerbation of COPD are identified, and tested and emerging strategies to reduce these readmissions are discussed.
Journal ArticleDOI
Effect of a Postdischarge Virtual Ward on Readmission or Death for High-Risk Patients: A Randomized Clinical Trial
Irfan A. Dhalla,Tara O'Brien,Tara O'Brien,Dante Morra,Dante Morra,Kevin E. Thorpe,Kevin E. Thorpe,Brian M. Wong,Brian M. Wong,Rajin Mehta,Rajin Mehta,David W. Frost,David W. Frost,Howard Abrams,Howard Abrams,Francoise Ko,Patrick Van Rooyen,Chaim M. Bell,Chaim M. Bell,Andrea Gruneir,Andrea Gruneir,Geraint Lewis,Stacey Daub,Geoff Anderson,Gillian A. Hawker,Gillian A. Hawker,Paula A. Rochon,Andreas Laupacis +27 more
TL;DR: In a diverse group of high-risk patients being discharged from the hospital, there was no statistically significant effect of a virtual ward model of care on readmissions or death at either 30 days or 90 days, 6 months, or 1 year after hospital discharge.
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Return Visits to the Emergency Department: The Patient Perspective
Kristin L. Rising,Kevin A. Padrez,Meghan O’Brien,Judd E. Hollander,Brendan G. Carr,Judy A. Shea +5 more
TL;DR: Postdischarge factors, including perceived inability to access timely follow-up care and uncertainty and fear about disease progression, are primary motivators for return to the ED.
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A Reengineered Hospital Discharge Program to Decrease Rehospitalization
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