Comparison of the change in heart failure readmission and mortality rates between hospitals subject to hospital readmission reduction program penalties and critical access hospitals - 17/03/19
, Paul A Heidenreich, MD, MS a, bAbstract |
Background |
The Hospital Readmission Reduction Program (HRRP), announced in 2010, penalizes hospitals with high readmissions for multiple conditions including heart failure.
Methods |
We compared heart failure readmission and mortality rates in hospitals exposed to HRRP financial penalties with critical access hospitals (CAHs) not subject to the penalty between 2005 and 2016 using 3-year moving averages from Hospital Compare.
Results |
After HRRP introduction, CAHs experienced a 0.60% annual decrease (95% CI: −0.61 to −0.59%) in heart failure readmissions. HRRP-exposed hospitals experienced an additional 0.13% annual decrease (95% CI: −0.14 to −0.12%) compared with CAHs. The association between HRRP penalties and mortality varied with model specifications.
Conclusions |
Using CAHs as a control group, we found the introduction of financial penalties was only associated with modest reductions in readmissions and an uncertain association with mortality. Cluster-randomized rollouts of health care policy interventions will allow us to better evaluate the impact of our interventions.
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Vol 209
P. 63-67 - mars 2019 Retour au numéro
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