DeVore, Adam

Eapen, Zubin J.

Hammill, Bradley

Hernandez, Adrian F.

Peterson, Eric

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Heart Failure and Cardiomyopathies
A781
JACC March 17, 2015
Volume 65, Issue 10S
hAs PuBlIc rePortIng of reAdmIssIons ImProved cAre for PAtIents wIth heArt 
fAIlure?
Moderated Poster Contributions
Heart Failure and Cardiomyopathies Moderated Poster Theater, Poster Hall B1
Sunday, March 15, 2015, 9:45 a.m.-9:55 a.m.
Session Title: Readmissions in Heart Failure
Abstract Category: 14.  Heart Failure and Cardiomyopathies: Clinical
Presentation Number: 1200M-03
Authors: Adam DeVore, Bradley Hammill, Zubin J. Eapen, Eric Peterson, Adrian F. Hernandez, Duke Clinical Research Institute, Durham, 
NC, USA
Background:  In July 2009 the Centers for Medicare and Medicaid Services began publicly reporting risk-standardized 30-day hospital 
readmission rates for heart failure (HF) and other conditions. The impact of this policy change on different measures of acute care 
utilization has not been previously evaluated.
methods:  We identified HF hospitalizations of patients discharged alive to home between July 2006 and June 2012 from the 5% Medicare 
claims files. Our analysis adjusted for patient demographics and comorbid conditions to determine quarterly trends in 30-day: A) all-cause 
readmission, B) emergency department (ED) visits, and C) readmissions after same-hospital ED visits. We allowed the estimated trend line 
to change after implementation of public reporting and compared the predicted trend (based on the pre-reporting period) with the observed 
trend after implementation in July 2009.
results:  The figure displays predicted (dotted line) vs observed (red line) trends. We found no significant difference in the predicted 
and observed trends for all-cause readmissions, ED visits, or readmissions after same-hospital ED visits after implementation of public 
reporting.
conclusion:  The implementation of public reporting of readmission rates was not associated with significant improvement in 30-day 
readmission rates nor did it increase the rate of ED visits.


HAS PUBLIC REPORTING OF READMISSIONS IMPROVED CARE FOR PATIENTS WITH HEART FAILURE? 

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HAS PUBLIC REPORTING OF READMISSIONS IMPROVED CARE FOR PATIENTS WITH HEART FAILURE?

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