1. Improving Heart Failure Readmission Costs and Outcomes With a Hospital-to-Home Readmission Intervention Program.
- Author
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Bilchick, Kenneth, Moss, Travis, Welch, Timothy, Levy, Wayne, Stukenborg, George, Lawlor, Bryan T., Reigle, Juanita, Thomas, S. Craig, Brady, Carolyn, Bergin, James D., Kennedy, Jamie L. W., Abuannadi, Mohammed, Scully, Kenneth, and Mazimba, Sula
- Abstract
A retrospective cohort study was performed of the Hospital-to-Home (H2H) program, a rapid clinic follow-up program for patients with recent heart failure (HF) admissions at the University of Virginia Health System. There were 6761 hospitalizations among 4685 patients (age 67.5 ± 14.2 years, 43.9% female), and 759 had H2H follow-up. Thirty day mortality after the initial HF hospitalization was lower in H2H patients (1.84% vs 3.13%; P = .049), and this difference remained significant after adjustment in a multivariable logistic regression model (odds ratio = 0.56 [95% CI = 0.31-099]; P = .046). There also was a 24% reduction in readmission days within the first 30 days after the index admission ( P < .0001), and readmission cost savings were found to be greater than the costs of staffing the H2H clinic. In summary, the H2H program is cost-effective, with significant improvements in survival, readmission days, and readmission costs over 30 days. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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