Heart Failure Readmission Reduction: Outcomes of a Quality Improvement Initiative Implemented by St. John's Physician Group Practice Demonstration.-临床诊疗知识库

Heart Failure Readmission Reduction: Outcomes of a Quality Improvement Initiative Implemented by St. John's Physician Group Practice Demonstration.

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作者：

Joseph P, Drozda；Donna A, Smith；Paul C, Freiman；Janet, Pursley；Jeffrey A, VanSlette；Timothy R, Smith

来源：

American journal of medical quality : the official journal of the American College of Medical Quality 2016 年

标签：

accountable care disease management heart failure readmissions

Little is known regarding effectiveness of readmission reduction programs over time. The Heart Failure Management Program (HFMP) of St. John's Physician Group Practice (PGP) Demonstration provided an opportunity to assess outcomes over an extended period. Data from an electronic health record, an inpatient database, a disease registry, and the Social Security Death Master File were analyzed for patients admitted with heart failure (HF) for 5 years before (Period 1) and 5 years after (Period 2) inception of PGP. HF admissions decreased (Period 1, 58.3/month; Period 2, 52.4/month,P= .007). Thirty-day all-cause readmission rate dropped from Period 1 (annual average 18.8

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