Evaluation of 30-Day Hospital Readmission and Mortality Rates Using Regression-Discontinuity Framework.

ABSTRACT:

Background

The Hospital Readmissions Reduction Program (HRRP) has been associated with reduced 30-day readmissions for acute myocardial infarction (AMI) and heart failure (HF).

Objectives

The purpose of this study was to test whether this 30-day readmission reduction is a manifestation of practices that defer or avoid hospitalizations beyond the 30-day period.

Methods

At all U.S. hospitals under HRRP, the authors calculated daily readmission rates for elderly Medicare fee-for-service beneficiaries through day-60 post-discharge following a hospitalization for AMI and HF-the 2 target cardiovascular conditions-as well as pneumonia in July 2008 to June 2016. The authors applied a robust bias-corrected nonparametric regression approach to evaluate for discontinuities in ra

SUBMITTER: Khera R 

PROVIDER: S-EPMC8669780 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature