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• W2744640517 abstract "Background: Accurately identifying patients hospitalized for heart failure (HF) is essential to prevent readmissions and subsequent Centers for Medicare and Medicaid Services (CMS) imposed penalties. A previous study at our institution revealed that only 54% of HF admissions were identified prior to discharge. Using an institutional registry, we aimed to actively capture HF admissions and hypothesized that identification and enrollment into our Hospital Readmissions Reduction Program (HRRP) would reduce the 30-day all-cause readmission rate. Methods: An internal HF registry of approximately 4500 patients was created using previous index HF admissions, verified post discharge by HF Diagnosis Related Groups (DRGs), from January 2013 to December 2015. Hospitalized registry patients were captured on a daily census and reviewed during interdisciplinary team rounds to determine if the admission was for HF. Once the admitting diagnosis of HF was confirmed, the patient was enrolled into the HRRP. Evidence-based HRRP interventions included patient education and scheduled follow-up within 14 days of hospital discharge. Identified HF patients also received postdischarge transitional care interventions, such as telephonic follow-up and home care visits. Results: Program data was reviewed from September 2016 to February 2017. The total number of HF index admissions was 337 with 228 admissions identified and enrolled into the HRRP. Accuracy of identification was 67.7%. Using an institutional HF registry increased identification of HF inpatients by 25.4%. Results are shown in Table 1. There was a statistically significant difference in the readmission rate for patients identified and enrolled in the HRRP as opposed to patients that were not identified. Compared to our previous identification study, the readmission rate decreased by 20.5% from 17.6% to 14.0%. Conclusion: Utilizing an institutional registry improved our identification accuracy among hospitalized HF patients. Evidence-based HRRP interventions led to a reduction in the 30-day all-cause readmission rate among HF patients who were identified through the registry. Barriers to identification included short length of stay, competing diagnoses and inadequate documentation. Hospitals can easily create and incorporate an internal registry into existing readmission reduction efforts." @default.
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• W2744640517 date "2017-08-01" @default.
• W2744640517 modified "2023-10-18" @default.
• W2744640517 title "Establishment of an Institutional Heart Failure Registry as a Cornerstone to Readmission Reduction Efforts" @default.
• W2744640517 doi "https://doi.org/10.1016/j.cardfail.2017.07.281" @default.
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