Pub Date : 2023-10-01DOI: 10.55834/halmj.3128955612
Jason Lauf, Elizabeth Keller, Anthony Miniaci, Meghan Ramic, Farshad Forouzandeh, James Hill
Heart failure is a leading cause of hospitalizations, with a growing prevalence and a high readmission rate. Hospitalization and readmission affect both patient stress and hospital finances. The COVID-19 pandemic and broader economic conditions placed additional stress on hospitals in recent years. In response, our hospital implemented a heart failure navigator program during the COVID-19 pandemic to prevent readmissions. We monitored the readmission and mortality rates of patients hospitalized for heart failure in 2018 and 2019 (before implementation) against 2020 and 2021 (after implementation). There were 235 readmissions with 28 deaths before implementation and 156 readmissions with 17 deaths after implementation. The reduction in readmission was significant (p = .0185), with an insignificant reduction in mortality (p = .2674). This indicates that the reduction in readmission rate was secondary to navigator implementation, not patient mortality. In conclusion, a multifactorial HF navigator can reduce HF readmission, even when implemented during a pandemic that causes increased patient morbidity.
{"title":"Congestive Heart Failure Readmission Rates Decline After Patient Navigator Implementation in COVID-19 Era","authors":"Jason Lauf, Elizabeth Keller, Anthony Miniaci, Meghan Ramic, Farshad Forouzandeh, James Hill","doi":"10.55834/halmj.3128955612","DOIUrl":"https://doi.org/10.55834/halmj.3128955612","url":null,"abstract":"Heart failure is a leading cause of hospitalizations, with a growing prevalence and a high readmission rate. Hospitalization and readmission affect both patient stress and hospital finances. The COVID-19 pandemic and broader economic conditions placed additional stress on hospitals in recent years. In response, our hospital implemented a heart failure navigator program during the COVID-19 pandemic to prevent readmissions. We monitored the readmission and mortality rates of patients hospitalized for heart failure in 2018 and 2019 (before implementation) against 2020 and 2021 (after implementation). There were 235 readmissions with 28 deaths before implementation and 156 readmissions with 17 deaths after implementation. The reduction in readmission was significant (p = .0185), with an insignificant reduction in mortality (p = .2674). This indicates that the reduction in readmission rate was secondary to navigator implementation, not patient mortality. In conclusion, a multifactorial HF navigator can reduce HF readmission, even when implemented during a pandemic that causes increased patient morbidity.","PeriodicalId":500441,"journal":{"name":"Healthcare Administration Leadership & Management Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135323151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.55834/halmj.9462789854
Robert Smoldt, Natalie Landman, Benjamin Weinstock, Denis Cortese
Hospital consolidation is on the rise, driven by the combination of government provisions that aim to move the system from volume to value and the financial impacts of the pandemic. The key argument in favor of consolidation is that larger systems are better positioned to achieve higher value through dissemination of best practices and economies of scale. So, are these systems delivering consistently high value? Our analysis of the CMS Hospital Value-Based Purchasing Total Performance Score (TPS) for two cohorts of health systems — those in the state of California and those top ranked by U.S. News & World Report— suggests that the answer is: it depends. Although in some systems, most hospitals have higher-than-average TPS, all systems show opportunities for improvement. Given that patients often assume within-brand equivalence in healthcare value judgements, hospital systems must assume responsibility for delivering truly consistent and high value healthcare across their entire network.
{"title":"Is Hospital Consolidation Leading to Higher Value?","authors":"Robert Smoldt, Natalie Landman, Benjamin Weinstock, Denis Cortese","doi":"10.55834/halmj.9462789854","DOIUrl":"https://doi.org/10.55834/halmj.9462789854","url":null,"abstract":"Hospital consolidation is on the rise, driven by the combination of government provisions that aim to move the system from volume to value and the financial impacts of the pandemic. The key argument in favor of consolidation is that larger systems are better positioned to achieve higher value through dissemination of best practices and economies of scale. So, are these systems delivering consistently high value? Our analysis of the CMS Hospital Value-Based Purchasing Total Performance Score (TPS) for two cohorts of health systems — those in the state of California and those top ranked by U.S. News & World Report— suggests that the answer is: it depends. Although in some systems, most hospitals have higher-than-average TPS, all systems show opportunities for improvement. Given that patients often assume within-brand equivalence in healthcare value judgements, hospital systems must assume responsibility for delivering truly consistent and high value healthcare across their entire network.","PeriodicalId":500441,"journal":{"name":"Healthcare Administration Leadership & Management Journal","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135323160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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