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Impact of Event Severity on Hospital Rankings Based on Heart Failure Readmission Rates

机译:事件严重程度对基于心力衰竭入伍率的医院排名影响

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The Medicare Readmissions Reduction Program penalizes hospitals with higher than expected readmission rates after discharge for congestive heart failure (CHF). This exploratory study analyzed whether categorizing readmissions by event severity might have implications for the program. The authors used the 5% MedPAR (Medicare Provider and Analysis Review) data for 2008 to 2014 and ranked 1820 hospitals based on all readmissions, readmissions for CHF, short-stay CHF readmissions, and readmissions for severe CHF with evidence of cardiogenic shock. Ranking hospitals based on severe CHF readmissions changes their relative rank order significantly compared to counting all readmissions. If confirmed in the full Medicare data, the finding could inform the design of the Readmission Reduction Program.
机译:Medicare Readmissions减少计划在排出充血性心力衰竭(CHF)后惩罚高于预期的入住率的医院。此探索性研究分析了是否通过事件严重程度进行分类,对该计划产生影响。作者使用了2008年至2014年的5%Medpar(Medicare提供者和分析综述)数据,并根据所有入院,瑞士法郎,短期潮紫外线入院的入院,严重CHF的阅览,并进行了患有心源性休克的证据,排名1820的医院。根据严重的CHF Readmissions的排名医院与计算所有入院相比,它们的相对等级顺序变化。如果在完整的Medicare数据中确认,该发现可以通知入户减少计划的设计。

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