Predicting readmission of heart failure patients using automated follow-up calls

BMC Medical Informatics and Decision Making

Volumn 15, Issue 1, 2015, Pages

  Inouye, Shelby ^a   Bouras, Vasileios ^b   Shouldis, Eric ^c   Johnstone, Adam ^c   Silverzweig, Zachary ^b   Kosuri, Pallav ^d  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b Cipher Health   (United States)

^c CHARLESTON AREA MEDICAL CENTER   (United States)

^d HARVARD UNIVERSITY   (United States)

Author keywords

Heart failure; Post discharge follow up; Readmission prediction; Risk assessment

Indexed keywords

ADULT; HEALTH STATUS; HEART FAILURE; HOSPITAL READMISSION; HUMAN; PATIENT CARE; PROGNOSIS; RISK ASSESSMENT; SELF REPORT; STATISTICS AND NUMERICAL DATA; TELEPHONE;

ADULT; CONTINUITY OF PATIENT CARE; HEALTH STATUS; HEART FAILURE; HUMANS; PATIENT READMISSION; PROGNOSIS; RISK ASSESSMENT; SELF REPORT; TELEPHONE;

EID: 84927754322     PISSN: None     EISSN: 14726947     Source Type: Journal    
DOI: 10.1186/s12911-015-0144-8     Document Type: Article

References (28)

1. Hospital Outcomes of Care Measures - National Average. 2013.
2. Levy D, Kenchaiah S, Larson MG, Benjamin EJ, Kupka MJ, Ho KKL, et al. Long-Term Trends in the Incidence of and Survival with Heart Failure. N Engl J Med. 2002;347:1397-402.
3. Epstein AM, Jha AK, Orav JE. The Relationship between Hospital Admission Rates and Rehospitalizations. N Engl J Med. 2011;365:2287-95.
4. Rau J. Medicare Revises Readmissions Penalties. Kaiser Health News 14 March 2013. http://kaiserhealthnews.org/news/revised-readmissions-statistics-hospitals-medicare/. Accessed 20 March 2015.
5. Hernandez AF, Greiner MA, Fonarow GC, Hammill BG, Heidenreich PA, Yancy CW, et al. Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. JAMA. 2010;303:1716-22.
6. Phillips CO, Wright SM, Kern DE, Singa RM, Shepperd S, Rubin HR. Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure: a meta-analysis. JAMA. 2004;291:1358-67.
7. American Heart Association Telephone Follow-Up Fact Sheet. http://www.heart.org/idc/groups/heart-public/@wcm/@hcm/@gwtg/documents/downloadable/ucm-429608.pdf. Accessed 20 March 2015.
8. Ross JS, Mulvey GK, Stauffer B, Patlolla V, Bernheim SM, Keenan PSP, et al. Statistical Models and Patient Predictors of Readmission for Heart Failure. Arch Intern Med. 2008;168:1371-86.
9. Krumholz HM, Chen YT, Wang Y, Vaccarino V, Radford MJ, Horwitz RI. Predictors of readmission among elderly survivors of admission with heart failure. Am Heart J. 2000;139:72-7.
10. Philbin EF, DiSalvo TG. Prediction of hospital readmission for heart failure: development of a simple risk score based on administrative data. J Am Coll Cardiol. 1999;18:855-6.
11. Volz A, Schmid J-P, Zwahlen M, Kohls S, Saner H, Barth J. Predictors of readmission and health related quality of life in patients with chronic heart failure: a comparison of different psychosocial aspects. J Behav Med. 2011;34:13-22.
12. Hasan O, Meltzer DO, Shaykevich SA, Bell CM, Kaboli PJ, Auerbach AD, et al. Hospital readmission in general medicine patients: a prediction model. J Gen Intern Med. 2010;25:211-9.
13. Hamner JB, Ellison KJ. Predictors of hospital readmission after discharge in patients with congestive heart failure. Hear Lung. 2005;34:231-9.
14. Amarasingham R, Moore BJ, Tabak YP, Drazner MH, Clark CA, Zhang S, et al. An automated model to identify heart failure patients at risk for 30-day readmission or death using electronic medical record data. Med Care. 2010;48:981-8.
15. Shulan M, Gao K, Moore CD. Predicting 30-day all-cause hospital readmissions. Health Care Manag Sci. 2013;16:167.
16. Inglis SC, Clark RA, McAlister FA, Ball J, Lewinter C, Cullington D, et al. Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Syst Rev. 2010;8, CD007228.
17. Palaniswamy C, Mishkin A, Aronow WS, Kalra A, Frishman WH. Remote Patient Monitoring in Chronic Heart Failure. Cardiol Rev. 2013;3:141-50.
18. Casarett D. Determining When Quality Improvement Initiatives Should Be Considered Research: Proposed Criteria and Potential Implications. JAMA, J Am Med Assoc. 2000;283:2275-80.
19. Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG, et al. Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: Developed in Collaboration with the International Society for Heart and Lung Transplantation. Circulation. 2009;2009(119):1977-2016.
20. Ross JS, Chen J, Lin Z, Bueno H, Curtis JP, Keenan PS, et al. Recent national trends in readmission rates after heart failure hospitalization. Circ Hear Fail. 2010;3:97-103.
21. Dharmarajan K, Krumholz HM. Strategies to Reduce 30-Day Readmission in Older Patients Hospitalized with Heart Failure and Acute Myocardial Infarction. Curr Geriatr Reports. 2014;3:306-15.
22. Kocher RP, Adashi EY. Hospital readmissions and the Affordable Care Act: paying for coordinated quality care. JAMA. 2011;306:1794-5.
23. Ashton CM, Kuykendall DH, Johnson ML, Wray NP, Wu L. The association between the quality of inpatient care and early readmission. Ann Intern Med. 1995;122:415-21.
24. Jerant A, Azari R, Nesbitt T. Reducing the cost of frequent hospital admissions for congestive heart failure: a randomized trial of a home telecare intervention. Med Care. 2001;39:1234-45.
25. Chaudhry SI, Mattera JA, Curtis JP, Spertus JA, Herrin J, Lin Z, et al. Telemonitoring in Patients with Heart Failure. N Engl J Med. 2010;24:2301-9.
26. Koehler F, Winkler S, Schieber M, Sechtem U, Stangl K, Böhm M, et al. Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: The telemedical interventional monitoring in heart failure study. Circulation. 2011;123:1873-80.
27. Krumholz HM, Amatruda J, Smith GL, Mattera JA, Roumanis SA, Radford MJ, et al. Randomized trial of an education and support intervention to prevent readmission of patients with heart failure. J Am Coll Cardiol. 2002;39:83-9.
28. Dharmarajan K, Hsieh AF, Lin Z, Bueno H, Ross JS, Horwitz LI, et al. Diagnoses and timing of 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia. JAMA. 2013;309:355-63.