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Article
Heart Failure Performance Measures: Do They Have an Impact on 30-Day Readmission Rates?
American Journal of Medical Quality
  • Sula E. Mazimba, Wright State University - Main Campus
  • Nakash Grant
  • Analkumar Parikh
  • George Mwandia, Wright State University
  • Diklar Makola, Wright State University
  • Christine Chilomo
  • Cristina Redko, Wright State University - Main Campus
  • Harvey S. Hahn, Wright State University
Document Type
Article
Publication Date
1-1-2013
Abstract
Congestive heart failure (CHF) accounts for more health care costs than any other diagnosis. Readmissions contribute to this expenditure. The authors evaluated the relationship between adherence to performance metrics and 30-day readmissions. This was a retrospective study of 6063 patients with CHF between 2001 and 2008. Data were collected for 30-day readmissions and compliance with CHF performance measures at discharge. Rates of readmission for CHF increased from 16.8% in 2002 to 24.8% in 2008. Adherence to performance measures increased concurrently from 95.8% to 99.9%. Except for left ventricular function (LVF) assessment, the 30-day readmission rate was not associated with adherence to performance measures. Readmitted patients had twice the odds of not having their LVF assessed (odds ratio = 2.0; P < .00005; 95% confidence interval = 1.45-2.63). CHF performance measures, except for the LVF assessment, have little relationship to 30-day readmissions. Further studies are needed to identify performance measures that correlate with quality of care.
DOI
10.1177/1062860612465066
Citation Information
Sula E. Mazimba, Nakash Grant, Analkumar Parikh, George Mwandia, et al.. "Heart Failure Performance Measures: Do They Have an Impact on 30-Day Readmission Rates?" American Journal of Medical Quality Vol. 28 Iss. 4 (2013) p. 324 - 329 ISSN: 10628606
Available at: http://works.bepress.com/cristina_redko/24/