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Impact of the Development of a Regional Collaborative to Reduce 30-Day Heart Failure Readmissions
Joy Pollard1, Sandra Oliver-McNeil, Shilpa Patel
1St Joseph Mercy Oakland, Pontiac, Michigan (Dr Pollard); College of Nursing, Wayne State University, Detroit, Michigan (Dr Oliver-McNeil); American College of Cardiology, Washington, District of Columbia (Ms Patel); Greater Detroit Area Health Council, Southfield, Michigan (Ms Mason); and MPRO, Farmington Hills, Michigan (Ms Baker).
Abstract:
Thirty-day heart failure readmissions can be reduced if multiple interventions, such as 7-day postdischarge follow-up, are implemented, but this task is challenging for health systems. Ten hospitals participated in a multisystem collaborative implementing evidence-based strategies. The overall 30-day readmission rate was reduced more in the collaborating hospitals than in the noncollaborating hospitals (from 29.32% to 27.66% vs from 27.66% to 26.03%, P = .008). Regional collaboration between health care systems within a quality improvement project was associated with reduced 30-day readmission.
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