Has Public Reporting of Hospital Readmission Rates Affected Patient Outcomes?: Analysis of Medicare Claims Data

Journal of the American College of Cardiology

Volumn 67, Issue 8, 2016, Pages 963-972

  DeVore, Adam D ^a,b   Hammill, Bradley G ^a   Hardy, N Chantelle ^a   Eapen, Zubin J ^a,b   Peterson, Eric D ^a,b   Hernandez, Adrian F ^a,b  

^a DUKE CLINICAL RESEARCH INSTITUTE   (United States)

^b DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Centers for Medicare Medicaid Services; heart failure; myocardial infarction; quality

Indexed keywords

ACUTE HEART INFARCTION; ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CONTROLLED STUDY; HEALTH CARE POLICY; HEART FAILURE; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MEDICARE; MORTALITY RATE; OUTCOME ASSESSMENT; PNEUMONIA; PRIORITY JOURNAL; PUBLIC HEALTH; PUBLIC REPORTING; TREND STUDY; CAUSE OF DEATH; FOLLOW UP; HEALTH CARE QUALITY; HOSPITAL; INCIDENCE; INSURANCE; MYOCARDIAL INFARCTION; RETROSPECTIVE STUDY; STANDARDS; STATISTICS AND NUMERICAL DATA; SURVIVAL RATE; TRENDS; UNITED STATES;

CAUSE OF DEATH; FOLLOW-UP STUDIES; HEART FAILURE; HOSPITALS; HUMANS; INCIDENCE; INSURANCE CLAIM REPORTING; MEDICARE; MYOCARDIAL INFARCTION; PATIENT READMISSION; PNEUMONIA; QUALITY INDICATORS, HEALTH CARE; RETROSPECTIVE STUDIES; SURVIVAL RATE; UNITED STATES;

EID: 84959020339     PISSN: 07351097     EISSN: 15583597     Source Type: Journal    
DOI: 10.1016/j.jacc.2015.12.037     Document Type: Article

References (25)

1. S.F. Jencks, M.V. Williams, and E.A. Coleman Rehospitalizations among patients in the Medicare Fee-for-Service Program N Engl J Med 360 2009 1418 1428
2. R.N. Axon, and M.V. Williams Hospital readmission as an accountability measure JAMA 305 2011 504 505
3. Centers for Medicare & Medicaid Services. Medicare.gov. Hospital Compare. Medicare.gov website. Available at: http://www.medicare.gov/hospitalcompare/search.html. Accessed June 16, 2015.
4. G. Gerhardt, A. Yemane, P. Hickman, and et al. Medicare readmission rates showed meaningful decline in 2012 Medicare Medicaid Res Rev 3 2013 003.02.b01
5. L.G. Suter, S.X. Li, J.N. Grady, and 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 29 2014 1333 1340
6. Yale New Haven Health Services Corporation Center for Outcomes Research and Evaluation. Medicare Hospital Quality Chartbook. performance report on outcome measures. September 2014. Centers for Medicare & Medicaid Services. Available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Downloads/Medicare-Hospital-Quality-Chartbook-2014.pdf. Accessed March 11, 2015.
7. E. Birman-Deych, A.D. Waterman, Y. Yan, and et al. Accuracy of ICD-9-CM codes for identifying cardiovascular and stroke risk factors Med Care 43 2005 480 485
8. H. Quan, V. Sundararajan, P. Halfon, and et al. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data Med Care 43 2005 1130 1139
9. S.M. Bernheim, J.N. Grady, Z. Lin, and et al. National patterns of risk-standardized mortality and readmission for acute myocardial infarction and heart failure: update on publicly reported outcomes measures based on the 2010 release Circ Cardiovasc Qual Outcomes 3 2010 459 467
10. P.K. Lindenauer, S.M. Bernheim, J.N. Grady, and et al. The performance of US hospitals as reflected in risk-standardized 30-day mortality and readmission rates for Medicare beneficiaries with pneumonia J Hosp Med 5 2010 E12 E18
11. Centers for Medicare & Medicaid Services. Medicare.gov: Physician Compare. Medicare.gov website. Available at: http://www.medicare.gov/physiciancompare/search.html. Accessed October 29, 2015.
12. K.E. Joynt Health policy and cardiovascular medicine: rapid changes, immense opportunities Circulation 131 2015 1098 1105
13. W.A. Ghali, A.S. Ash, R.E. Hall, and M.A. Moskowitz Statewide quality improvement initiatives and mortality after cardiac surgery JAMA 277 1997 379 382
14. E.D. Peterson, E.R. DeLong, J.G. Jollis, L.H. Muhlbaier, and D.B. Mark The effects of New York's bypass surgery provider profiling on access to care and patient outcomes in the elderly J Am Coll Cardiol 32 1998 993 999
15. D.W. Baker, D. Einstadter, C.L. Thomas, and et al. Mortality trends during a program that publicly reported hospital performance Med Care 40 2002 879 890
16. R.M. Werner, and E.T. Bradlow Relationship between Medicare's hospital compare performance measures and mortality rates JAMA 296 2006 2694 2702
17. A.M. Ryan, B.K. Nallamothu, and J.B. Dimick Medicare's public reporting initiative on hospital quality had modest or no impact on mortality from three key conditions Health Aff (Millwood) 31 2012 585 592
18. K.E. Joynt, D.M. Blumenthal, E.J. Orav, and et al. Association of public reporting for percutaneous coronary intervention with utilization and outcomes among Medicare beneficiaries with acute myocardial infarction JAMA 308 2012 1460 1468
19. S.W. Waldo, J.M. McCabe, C. O'Brien, and et al. Association between public reporting of outcomes with procedural management and mortality for patients with acute myocardial infarction J Am Coll Cardiol 65 2015 1119 1126
20. J.V. Tu, L.R. Donovan, D.S. Lee, and et al. Effectiveness of public report cards for improving the quality of cardiac care: the EFFECT study: a randomized trial JAMA 302 2009 2330 2337
21. A.F. Hernandez, M.A. Greiner, G.C. Fonarow, and et al. Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure JAMA 303 2010 1716 1722
22. A.A. Vashi, J.P. Fox, B.G. Carr, and et al. Use of hospital-based acute care among patients recently discharged from the hospital JAMA 309 2013 364 371
23. Z. Feng, B. Wright, and V. Mor Sharp rise in Medicare enrollees being held in hospitals for observation raises concerns about causes and consequences Health Aff (Millwood) 31 2012 1251 1259
24. G.W. Daughtridge, T. Archibald, and P.H. Conway Quality improvement of care transitions and the trend of composite hospital care JAMA 311 2014 1013 1014
25. J.R. Brown, H.C. Sox, and D.C. Goodman Financial incentives to improve quality: skating to the puck or avoiding the penalty box? JAMA 311 2014 1009 1010