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Dissertation/Thesis Abstract

Hospital Trends Post-hospital Readmission Reduction Program Implementation: Comparing Teaching Hospital Status by Characteristics of High-Risk Heart Failure-Related Readmission in the Northeastern United States
by Chase, Monica, Ph.D., University of the Sciences in Philadelphia, 2020, 122; 27959027
Abstract (Summary)

Heart failure (HF) is the leading cause of unplanned hospitalizations. Evaluating the factors associated with readmission among patients is key to understanding this phenomenon. This retrospective database study sought to better understand the impact and relationship of hospital-level characteristics on Hospital Readmissions Reduction Program-mandated reporting of unplanned readmissions and mortality rates in relation to HF patients. Data were merged from the Centers for Medicare and Medicaid Services and the American Hospital Association to explore descriptive data and test for statistically significant associations between hospital-level characteristics, HF readmission outcomes, and teaching status. Teaching hospital status showed an impact on higher readmission rates solely for facility Medicaid discharges and cardiac/cardiology services. For mortality, no hospital-level characteristics showed an association when comparing teaching hospital status. Policymakers should consider the role of various hospital-level characteristics and teaching hospital status on unplanned HF readmission events. This focus may offer hospitals transitional care solutions that reduce clinical and cost burden while increasing hospital quality of patient care over all-cause readmission penalties from unaccounted factors.

Indexing (document details)
Advisor: Issa, Amalia
Commitee: Hollands, James, Patterson, Brandon
School: University of the Sciences in Philadelphia
Department: Health Policy
School Location: United States -- Pennsylvania
Source: DAI-B 81/11(E), Dissertation Abstracts International
Subjects: Health care management
Keywords: Heart failure, Hospital characteristics, Hospital readmission, HRRP, Mortality, Teaching hospitals
Publication Number: 27959027
ISBN: 9798641903149
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