Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized medicare patients

JAMA - Journal of the American Medical Association

Volumn 312, Issue 22, 2014, Pages 2364-2373

  Patel, Mitesh S ^a,b,c,d   Volpp, Kevin G ^a,b,c,d,e   Small, Dylan S ^c,d   Hill, Alexander S ^f   Even Shoshan, Orit ^e,f   Rosenbaum, Lisa ^g   Ross, Richard N ^f   Bellini, Lisa ^b   Zhu, Jingsan ^b,d   Silber, Jeffrey H ^c,d,e,f  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d UNIVERSITY OF PENNSYLVANIA   (United States)

^e UNIVERSITY OF PENNSYLVANIA   (United States)

^f CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

^g BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE HEART INFARCTION; AGED; ARTICLE; CEREBROVASCULAR ACCIDENT; COMORBIDITY; CONGESTIVE HEART FAILURE; CONTROLLED STUDY; DIAGNOSIS RELATED GROUP; FEMALE; GASTROINTESTINAL HEMORRHAGE; GENERAL SURGERY; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HOSPITAL PATIENT; HOSPITAL READMISSION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICARE; MORTALITY; OBSERVATIONAL STUDY; ORTHOPEDIC SURGERY; OUTCOME ASSESSMENT; RESIDENT; TEACHING HOSPITAL; VASCULAR SURGERY; WORKING TIME; ACCREDITATION; CLINICAL TRIAL; HEART FAILURE; HEART INFARCTION; MEDICAL EDUCATION; MULTICENTER STUDY; PERSONNEL MANAGEMENT; RISK; STANDARDS; STATISTICS AND NUMERICAL DATA; TRENDS; UNITED STATES; VERY ELDERLY; WORK SCHEDULE;

ACCREDITATION; AGED; AGED, 80 AND OVER; EDUCATION, MEDICAL, GRADUATE; FEMALE; GASTROINTESTINAL HEMORRHAGE; HEART FAILURE; HOSPITAL MORTALITY; HOSPITALS, TEACHING; HUMANS; INTERNSHIP AND RESIDENCY; MALE; MEDICARE; MYOCARDIAL INFARCTION; ODDS RATIO; PATIENT READMISSION; PERSONNEL STAFFING AND SCHEDULING; STROKE; UNITED STATES; WORK SCHEDULE TOLERANCE;

EID: 84916910490     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2014.15273     Document Type: Article

References (46)

1. Nasca TJ, Day SH, Amis ES Jr; ACGME Duty Hour Task Force. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3.
2. Philibert I, Friedmann P, Williams WT; ACGME Work Group on Resident Duty Hours. New requirements for resident duty hours. JAMA. 2002;288(9):1112-1114.
3. Kohn LT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.
4. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298(9):975-983.
5. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298(9):984-992.
6. Volpp KG, Rosen AK, Rosenbaum PR, et al. Did duty hour reform lead to better outcomes among the highest risk patients? J Gen Intern Med. 2009;24(10):1149-1155.
7. Volpp KG, Small DS, Romano PS, et al. Teaching hospital 5-year mortality trends in the wake of duty hour reforms. J Gen Intern Med. 2013;28(8):1048-1055.
8. Press MJ, Silber JH, Rosen AK, et al. The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries. J Gen Intern Med. 2011;26(4):405-411.
9. Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. Med Care. 2009;47(7):723-731.
10. Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged hospital stay and the resident duty hour rules of 2003. Med Care. 2009;47(12):1191-1200.
11. Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.
12. Antiel RM, Thompson SM, Reed DA, et al. ACGME duty-hour recommendations - a national survey of residency program directors. N Engl J Med. 2010;363(8):e12.
13. Drolet BC, Sangisetty S, Tracy TF, CioffiWG. Surgical residents' perceptions of 2011 Accreditation Council for Graduate Medical Education duty hour regulations. JAMA Surg. 2013;148(5):427-433.
14. Romano PS, Volpp K. The ACGME's 2011 changes to resident duty hours: are they an unfunded mandate on teaching hospitals? J Gen Intern Med. 2012;27(2):136-138.
15. Nuckols TK, Escarce JJ. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. J Gen Intern Med. 2012;27(2):241-249.
16. Iezzoni LI. Risk Adjustment for Measuring Health-Care Outcomes. 3rd ed. Chicago, IL: Health Administration Press; 2003.
17. Centers for Medicare & Medicaid Services. 30-Day unplanned readmission and death measures. http://www.medicare.gov/hospitalcompare/Data/30-day-measures.html. Accessed September 15, 2014.
18. Iezzoni LI, Burnside S, Sickles L, Moskowitz MA, Sawitz E, Levine PA. Coding of acute myocardial infarction: clinical and policy implications. Ann Intern Med. 1988;109(9):745-751.
19. Kiyota Y, Schneeweiss S, Glynn RJ, Cannuscio CC, Avorn J, Solomon DH. Accuracy of Medicare claims-based diagnosis of acute myocardial infarction: estimating positive predictive value on the basis of review of hospital records. Am Heart J. 2004;148(1):99-104.
20. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36(1):8-27.
21. Glance LG, Dick AW, Osler TM, Mukamel DB. Does date stamping ICD-9-CM codes increase the value of clinical information in administrative data? Health Serv Res. 2006;41(1):231-251.
22. Quan H, Sundararajan V, Halfon P, et al. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005;43(11):1130-1139.
23. Southern DA, Quan H, Ghali WA. Comparison of the Elixhauser and Charlson/Deyo methods of comorbidity measurement in administrative data. Med Care. 2004;42(4):355-360.
24. Stukenborg GJ,Wagner DP, Connors AF Jr. Comparison of the performance of 2 comorbidity measures, with and without information from prior hospitalizations. Med Care. 2001;39(7):727-739.
25. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45(6):613-619.
26. Lawthers AG, McCarthy EP, Davis RB, Peterson LE, Palmer RH, Iezzoni LI. Identification of in-hospital complications from claims data: is it valid? Med Care. 2000;38(8):785-795.
27. Keeler EB, Rubenstein LV, Kahn KL, et al. Hospital characteristics and quality of care. JAMA. 1992;268(13):1709-1714.
28. Allison JJ, Kiefe CI,Weissman NW, et al. Relationship of hospital teaching status with quality of care and mortality for Medicare patients with acute MI. JAMA. 2000;284(10):1256-1262.
29. Taylor DH Jr, Whellan DJ, Sloan FA. Effects of admission to a teaching hospital on the cost and quality of care for Medicare beneficiaries. N Engl J Med. 1999;340(4):293-299.
30. Campbell DT, Stanley JC. Experimental and Quasi-Experimental Designs for Research. Dallas, TX: Houghton Mifflin Co; 1963.
31. Rosenbaum PR. Stability in the absence of treatment. J Am Stat Assoc. 2001;96:210-219.
32. Shadish WR, Cook TD, Campbell DT. Experimental and Quasi-Experimental Designs for Generalized Causal Inference. Boston, MA: Houghton-Mifflin; 2002.
33. Hosmer DW, Lemeshow S. Applied Logistic Regression. 2nd ed. New York, NY: John Wiley & Sons; 2000.
34. Meyer BD. Natural and quasi-experiments in economics. J Bus Econ Stat. 1995;13:151-161.
35. Harrell FE Jr. Regression Modeling Strategies. New York, NY: Springer-Verlag; 2001:sec 9.2, 10.5.
36. Efron B, Tibshirani RJ. An Introduction to the Bootstrap. New York, NY: Chapman & Hall; 1993.
37. Davison AC, Hinkley DV. Bootstrap Methods and Their Application. Cambridge, England: Cambridge University Press; 1997.
38. Field C, Welsh A. Bootstrapping clustered data. J R Stat Soc Series B Stat Methodol. 2007;69:369-390.
39. Joynt KE, Jha AK. Thirty-day readmissions - truth and consequences. N Engl J Med. 2012;366(15):1366-1369.
40. Suter LG, Li SX, Grady JN, et al. National patterns of risk-standardized mortality and readmission after hospitalization for acute myocardial infarction, heart failure, and pneumonia: update on publicly reported outcomes measures based on the 2013 release. J Gen Intern Med. 2014;29(10):1333-1340.
41. Gerhardt G, Yemane A, Hickman P, Oelschlaeger A, Rollins E, Brennan N. Medicare readmission rates showed meaningful decline in 2012. Medicare Medicaid Res Rev. 2013;3(2):1-12.
42. Centers for Medicare & Medicaid Services. Partnership for Patients. http://partnershipforpatients.cms.gov. Accessed July 15, 2014.
43. Centers for Medicare & Medicaid Services. Readmissions Reduction Program. http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-ReductionProgram.html. Accessed July 15, 2014.
44. Szymczak JE, Brooks JV, Volpp KG, Bosk CL. To leave or to lie? are concerns about a shift-work mentality and eroding professionalism as a result of duty-hour rules justified? Milbank Q. 2010;88(3):350-381.
45. Desai SV, Feldman L, Brown L, et al. Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. JAMA Intern Med. 2013;173(8):649-655.
46. Sen S, Kranzler HR, Didwania AK, et al. Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study. JAMA Intern Med. 2013;173(8):657-662.