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- W2891583237 abstract "Introduction Enhanced cognizance and timely reporting are crucial for hospitals engaging in readmissions reduction efforts to improve both process and outcomes among heart failure(HF) patients. Utilizing electronic medical record and claims data, we created an analytics dashboard to identify admissions and readmissions across multiple campuses of an academic medical center with over 3000 annual acute decompensated HF (ADHF) hospitalizations. We hypothesized that the addition of the dashboard to the established HF readmissions reduction program (HFRRP) would further reduce the 30-day all-cause readmission rate. Methods The dashboard captured HF admissions by medical record number 72 hours post discharge and generated a 24-hour look-back report that provided recent activity for patients that presented to the emergency department or were rehospitalized within 30 days. To track progress over time the dashboard displayed 3 years of data and could be filtered by hospital campus, unit and discharging provider. Monthly audits of readmitted patients identified through the dashboard were conducted to evaluate adherence to HFRRP interventions. Patients who routinely appeared on the look-back reports with multiple admissions for ADHF were interviewed to determine patient-specific gaps in care. Clinical teams received quarterly updates on the readmission rate. Results Construction of the dashboard facilitated quality improvement initiatives throughout the medical center. Increased transparency of HFRRP data, along with feedback to the clinical teams, stimulated interest in performance and outcomes. Targeted efforts determined by data analysis and reporting reduced the 30-day all-cause HF readmission rate from 25.2% in 2016 to 22.9% in 2017. Conclusion An informatics-based approach using an institutional dashboard further reduced the readmission rate of our existing HFRRP. Hospitals can incorporate real-time data derived from a dashboard to improve decision making and resource utilization for patients admitted with HF." @default.
- W2891583237 created "2018-09-27" @default.
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- W2891583237 date "2018-08-01" @default.
- W2891583237 modified "2023-10-18" @default.
- W2891583237 title "Who's Readmitted for Heart Failure and Why? Real-time Capture of Admissions through an Institutional Analytics Dashboard" @default.
- W2891583237 doi "https://doi.org/10.1016/j.cardfail.2018.07.355" @default.
- W2891583237 hasPublicationYear "2018" @default.
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