What works in readmissions reduction how hospitals improve performance

Medical Care

Volumn 54, Issue 6, 2016, Pages 600-607

  Brewster, Amanda L ^a   Cherlin, Emily J ^a   Ndumele, Chima D ^a   Collins, Diane ^b   Burgess, James F ^c,d   Charns, Martin P ^c,d   Bradley, Elizabeth H ^a   Curry, Leslie A ^a  

^a YALE UNIVERSITY   (United States)

^b YALE NEW HAVEN HOSPITAL   (United States)

^c VA BOSTON HEALTHCARE SYSTEM   (United States)

^d BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Hospital management; Organizational practices; Quality improvement; Readmissions

Indexed keywords

ARTICLE; CLINICAL PRACTICE; CONTROLLED STUDY; FINANCIAL MANAGEMENT; FOLLOW UP; HEALTH CARE ORGANIZATION; HEALTH CARE QUALITY; HOSPITAL; HOSPITAL DEPARTMENT; HOSPITAL PERSONNEL; HOSPITAL READMISSION; HUMAN; JOB PERFORMANCE; MEDICAL ERROR; MEDICATION THERAPY MANAGEMENT; MULTICENTER STUDY; OUTCOME ASSESSMENT; PRIORITY JOURNAL; QUALITATIVE RESEARCH; RISK REDUCTION; TOTAL QUALITY MANAGEMENT; TREND STUDY; HOSPITAL MANAGEMENT; INTERDISCIPLINARY COMMUNICATION; INTERVIEW; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PROCEDURES; PROGRAM EVALUATION; STANDARDS; UNITED STATES;

HOSPITAL ADMINISTRATION; HOSPITALS; HUMANS; INTERDISCIPLINARY COMMUNICATION; INTERVIEWS AS TOPIC; PATIENT CARE TEAM; PATIENT READMISSION; PROGRAM EVALUATION; QUALITY IMPROVEMENT; UNITED STATES;

EID: 84962468859     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0000000000000530     Document Type: Article

References (52)

1. Rau J. Medicare fines 2610 hospitals in third round of readmission penalties. Kaiser Health News. 2014. Available at: http://kaiser healthnews.org/news/medicare-readmissions-penalties-2015/. Accessed February 4, 2015.
2. Williams MV. A requirement to reduce readmissions: take care of the patient, not just the disease. JAMA. 2013;309:394-396.
3. Bradley EH, Sipsma H, Horwitz LI, et al. Hospital strategy uptake and reductions in unplanned readmission rates for patients with heart failure: a prospective study. J Gen Intern Med. 2014;30:605-611.
4. Butler J, Fonarow GC, Gheorghiade M. Need for increased awareness and evidence-based therapies for patients hospitalized for heart failure. JAMA. 2013;310:2035-2036.
5. Hansen L, Young RS, Hinami K, et al. Interventions to reduce 30-day rehospitalization: a systematic review. Ann Intern Med. 2011;155: 520-528.
6. Naylor MD, Brooten D, Campbell R, et al. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA. 1999;281:613-620.
7. Naylor MD, Brooten DA, Campbell RL, et al. Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. J Am Geriatr Soc. 2004;52:675-684.
8. Phillips C, Wright SM, Kern DE, et al. Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure: a meta-analysis. JAMA. 2004;291:1358-1367.
9. Coleman E, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166: 1822-1828.
10. Parry C, Min S-J, Chugh A, et al. Further application of the care transitions intervention: results of a randomized controlled trial conducted in a fee-for-service setting. Home Health Care Serv Q. 2009;28:84-99.
11. Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150:178-187.
12. Brock J, Mitchell J, Irby K, et al. Association between quality improvement for care transitions in communities and rehospitalizations among Medicare beneficiaries. JAMA. 2013;309:381-391.
13. Amarasingham R, Patel PC, Toto K, et al. Allocating scarce resources in real-time to reduce heart failure readmissions: a prospective, controlled study. BMJ Qual Saf. 2013;22:998-1005.
14. Bradley EH, Curry L, Horwitz LI, et al. Hospital strategies associated with 30-day readmission rates for patients with heart failure. Circ Cardiovasc Qual Outcomes. 2013;6:444-450.
15. Hernandez AF, Greiner MA, Fonarow GC, et al. Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. JAMA. 2010;303:1716-1722.
16. Kociol RD, Peterson ED, Hammill BG, et al. National survey of hospital strategies to reduce heart failure readmissions findings from the get with the guidelines-heart failure registry. Circ Heart Fail. 2012;5: 680-687.
17. Bradley EH, Curry LA, Spatz ES, et al. Hospital strategies for reducing risk-standardized mortality rates in acute myocardial infarction. Ann Intern Med. 2012;156:618-626.
18. Curry LA, Spatz E, Cherlin E, et al. What distinguishes top-performing hospitals in acute myocardial infarction mortality rates? A qualitative study. Ann Intern Med. 2011;154:384-390.
19. McConnell K, Lindrooth R, Wholey D, et al. Management practices and the quality of care in cardiac units. JAMA Intern Med. 2013;173: 684-692.
20. Davenport DL, Henderson WG, Mosca CL, et al. Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. J Am Coll Surg. 2007;205:778-784.
21. Gittell JH, Fairfield KM, Bierbaum B, et al. Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: a nine-hospital study of surgical patients. Med Care. 2000;38:807-819.
22. Young G, Charns M, Desai K, et al. Patterns of coordination and clinical outcomes: a study of surgical services. Acad Manage Proc. 1997;1997: 128-132.
23. Meterko M, Mohr DC, Young GJ. Teamwork culture and patient satisfaction in hospitals. Med Care. 2004;42:492-498.
24. Øvretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. BMJ Qual Saf. 2011;20:604-610.
25. Curry LA, Nembhard IM, Bradley EH. Qualitative and mixed methods provide unique contributions to outcomes research. Circulation. 2009;119:1442-1452.
26. Leslie M, Paradis E, Gropper MA, et al. Applying ethnography to the study of context in healthcare quality and safety. BMJ Qual Saf. 2014;23:99-105.
27. Institute for Healthcare Improvement. State action on avoidable rehospitalizations. 2014. Available at: http://www.ihi.org/offerings/Initia tives/PastStrategicInitiatives/STAAR/Pages/default.aspx. Accessed October 14, 2014.
28. Keenan PS, Normand S-LT, Lin Z, et al. An administrative claims measure suitable for profiling hospital performance on the basis of 30-day all-cause readmission rates among patients with heart failure. Circ Cardiovasc Qual Outcomes. 2008;1:29-37.
29. Krumholz HM, Lin Z, Drye EE, et al. An administrative claims measure suitable for profiling hospital performance based on 30-day all-cause readmission rates among patients with acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2011;4:243-252.
30. American College of Cardiology. Hospital to Home. Hospital to Home: reducing readmissions. Improving transitions. 2014. Available at: http://www.h2hquality.org/. Accessed October 14, 2014.
31. Morse JM. The significance of saturation. Qual Health Res. 1995;5:147-149.
32. Patton MQ. Qualitative Research and Evaluation Methods. Thousand Oaks, CA: Sage Publications; 2002.
33. Curry LA, Spatz E, Cherlin E, et al. What distinguishes top-performing hospitals in acute myocardial infarction mortality rates? Ann Intern Med. 2011;154:384-390.
34. Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times how top hospitals improve complex clinical systems. Circulation. 2006;113:1079-1085.
35. Bradley EH, Curry LA, Devers KJ. Qualitative data analysis for health services research: developing taxonomy, themes, and theory. Health Serv Res. 2007;42:1758-1772.
36. Glaser BG, Strauss AL. The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago, IL: Aldine; 1967.
37. Centers for Medicare & Medicaid Services. Medicare Hospital Quality Chartbook. Baltimore: Centers for Medicare & Medicaid Services; 2013.
38. Dharmarajan K, Hsieh AF, Lin Z, et al. Hospital readmission performance and patterns of readmission: retrospective cohort study of Medicare admissions. BMJ. 2013;347:f6571.
39. Horwitz LI, Wang Y, Desai MM, et al. Correlations among risk-standardized mortality rates and among risk-standardized readmission rates within hospitals. J Hosp Med. 2012;7:690-696.
40. Drozda JP. Readmission rates. BMJ. 2013;347:f7478.
41. Shortell SM, Zimmerman JE, Rousseau DM, et al. The performance of intensive care units: does good management make a difference? Med Care. 1994;32:508-525.
42. Argote L. Input uncertainty and organizational coordination in hospital emergency units. Adm Sci Q. 1982;27:420-434.
43. Nembhard IM, Tucker AL. Deliberate learning to improve performance in dynamic service settings: evidence from hospital intensive care units. Organ Sci. 2011;22:907-922.
44. Santana C, Curry LA, Nembhard IM, et al. Behaviors of successful interdisciplinary hospital quality improvement teams. J Hosp Med. 2011;6:501-506.
45. Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing. Implement Sci. 2009;4:50.
46. Greenhalgh T, Robert G, Macfarlane F, et al. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82:581-629.
47. Kaplan HC, Brady PW, Dritz MC, et al. The influence of context on quality improvement success in health care: a systematic review of the literature. Milbank Q. 2010;88:500-559.
48. Parker VA, Wubbenhorst WH, Young GJ, et al. Implementing quality improvement in hospitals: the role of leadership and culture. Am J Med Quality. 1999;14:64-69.
49. Rycroft-Malone J. The PARIHS framework-a framework for guiding the implementation of evidence-based practice. J Nurs Care Quality. 2004;19:297-304.
50. McCarthy D, Johnson M, Audet A. Recasting readmissions by placing the hospital role in community context. JAMA. 2013;309: 351-352.
51. Kripalani S, Theobald CN, Anctil B, et al. Reducing hospital readmission rates: current strategies and future directions. Annu Rev Med. 2014;65:471-485.
52. Bass BM. From transactional to transformational leadership: learning to share the vision. Organ Dyn. 1990;18:19-31.