National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Access to Care (1)
- Adverse Events (5)
- Alcohol Use (2)
- Ambulatory Care and Surgery (2)
- Behavioral Health (1)
- Cardiovascular Conditions (2)
- Caregiving (1)
- Children/Adolescents (1)
- Chronic Conditions (1)
- Depression (1)
- Education: Patient and Caregiver (1)
- Elderly (6)
- Electronic Health Records (EHRs) (1)
- Emergency Department (4)
- Evidence-Based Practice (1)
- Eye Disease and Health (1)
- Guidelines (1)
- Healthcare-Associated Infections (HAIs) (1)
- Healthcare Cost and Utilization Project (HCUP) (6)
- Healthcare Costs (1)
- Health Information Exchange (HIE) (1)
- Health Information Technology (HIT) (2)
- Heart Disease and Health (9)
- Home Healthcare (2)
- Hospital Discharge (10)
- Hospitalization (8)
- (-) Hospital Readmissions (44)
- Hospitals (7)
- Human Immunodeficiency Virus (HIV) (1)
- Injuries and Wounds (1)
- Intensive Care Unit (ICU) (2)
- Lifestyle Changes (1)
- Low-Income (1)
- Medicaid (2)
- Medicare (8)
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- Men's Health (1)
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- Patient-Centered Healthcare (1)
- Patient-Centered Outcomes Research (4)
- Patient Safety (1)
- Pneumonia (1)
- Provider Performance (2)
- Public Reporting (1)
- Quality Improvement (2)
- Quality Indicators (QIs) (1)
- Quality Measures (1)
- Quality of Care (2)
- Quality of Life (2)
- Racial and Ethnic Minorities (3)
- Registries (1)
- Rehabilitation (1)
- Respiratory Conditions (3)
- Risk (9)
- Screening (1)
- Social Determinants of Health (2)
- Stroke (1)
- Substance Abuse (1)
- Surgery (5)
- Teams (1)
- Telehealth (2)
- Tobacco Use (1)
- Training (1)
- Transitions of Care (5)
- Vulnerable Populations (1)
- Women (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
26 to 44 of 44 Research Studies DisplayedDonovan JL, Kanaan AO, Gurwitz JH
A pilot health information technology-based effort to increase the quality of transitions from skilled nursing facility to home: compelling evidence of high rate of adverse outcomes.
The authors investigated whether or not patients transferred from skilled nursing facilities to home may be at risk for adverse outcomes. They tracked rehospitalization within 30 days after discharge and adverse drug events within 45 days. They concluded that older adults discharged from skilled nursing facilities are at high risk of adverse outcomes immediately following discharge.
AHRQ-funded; HS017817.
Citation: Donovan JL, Kanaan AO, Gurwitz JH .
A pilot health information technology-based effort to increase the quality of transitions from skilled nursing facility to home: compelling evidence of high rate of adverse outcomes.
J Am Med Dir Assoc 2016 Apr;17(4):312-7. doi: 10.1016/j.jamda.2015.11.008.
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Keywords: Health Information Technology (HIT), Transitions of Care, Adverse Events, Elderly, Hospital Readmissions
Singh G, Zhang W, Kuo YF
Association of psychological disorders with 30-day readmission rates in patients with COPD.
Using a 5 percent sample of Medicare beneficiaries, the researchers examined the association of psychological disorders such as depression, anxiety, psychosis, alcohol abuse and drug abuse with early readmission for patients with COPD. They found that psychological disorders like depression, anxiety, psychosis, alcohol abuse and drug abuse are independently associated with higher all-cause 30-day readmission rates for Medicare beneficiaries with COPD.
AHRQ-funded; HS020642; HS022134.
Citation: Singh G, Zhang W, Kuo YF .
Association of psychological disorders with 30-day readmission rates in patients with COPD.
Chest 2016 Apr;149(4):905-15. doi: 10.1378/chest.15-0449..
Keywords: Behavioral Health, Hospital Readmissions, Medicare, Respiratory Conditions
Wyer P, Stojanovic Z, Shaffer JA
Combining training in knowledge translation with quality improvement reduced 30-day heart failure readmissions in a community hospital: a case study.
The authors linked multidisciplinary training in evidence-based practice to an initiative to decrease 30-day readmissions among patients admitted to a community teaching hospital for heart failure (HF). They discovered that training of a multidisciplinary hospital team in use of a knowledge translation model, combined with ongoing facilitation, led to implementation of a budget neutral program that decreased HF readmissions.
AHRQ-funded; HS018607.
Citation: Wyer P, Stojanovic Z, Shaffer JA .
Combining training in knowledge translation with quality improvement reduced 30-day heart failure readmissions in a community hospital: a case study.
J Eval Clin Pract 2016 Apr;22(2):171-9. doi: 10.1111/jep.12450.
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Keywords: Evidence-Based Practice, Heart Disease and Health, Quality Improvement, Hospital Readmissions, Training
Vora AN, Peterson ED, Hellkamp AS
Care transitions after acute myocardial infarction for transferred-in versus direct-arrival patients.
Many patients in the United States require transfer from one hospital to another for acute myocardial infarction (MI) care. How well these transferred-in patients are transitioned back to their local community is unknown. This study found that transferred-in patients with acute MI are less likely to have outpatient clinic follow-up within 30 days and more likely to be readmitted within the first 30 days post discharge compared with direct-arrival patients.
AHRQ-funded; HS021092.
Citation: Vora AN, Peterson ED, Hellkamp AS .
Care transitions after acute myocardial infarction for transferred-in versus direct-arrival patients.
Circ Cardiovasc Qual Outcomes 2016 Mar;9(2):109-16. doi: 10.1161/circoutcomes.115.002108.
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Keywords: Transitions of Care, Hospital Readmissions, Cardiovascular Conditions, Patient-Centered Outcomes Research, Hospital Discharge
Ong MK, Romano PS, Edgington S
Effectiveness of remote patient monitoring after discharge of hospitalized patients with heart failure: the better effectiveness after transition-heart failure (BEAT-HF) randomized clinical trial.
The researchers evaluated the effectiveness of a care transition intervention using remote patient monitoring in reducing 180-day all-cause readmissions among a broad population of older adults hospitalized with HF. Theyn found that intervention and usual care groups did not differ significantly in readmissions for any cause 180 days after discharge.
AHRQ-funded; HS019311.
Citation: Ong MK, Romano PS, Edgington S .
Effectiveness of remote patient monitoring after discharge of hospitalized patients with heart failure: the better effectiveness after transition-heart failure (BEAT-HF) randomized clinical trial.
JAMA Intern Med 2016 Mar;176(3):310-8. doi: 10.1001/jamainternmed.2015.7712.
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Keywords: Heart Disease and Health, Hospital Readmissions, Telehealth, Quality of Life, Hospital Discharge
DeVore AD, Hammill BG, Hardy NC
Has public reporting of hospital readmission rates affected patient outcomes?: Analysis of Medicare claims data.
Following the implementation of Centers for Medicare & Medicaid Services (CMS) public reporting, this study assessed trends of 30-day readmission rates and post-discharge care for patients discharged with acute myocardial infarction (MI), heart failure (HF), or pneumonia. It found that the release of the CMS public reporting of hospital readmission rates did not change 30-day readmission trends for MI, HF, or pneumonia, but it was associated with less hospital-based acute care for HF.
AHRQ-funded; HS021092.
Citation: DeVore AD, Hammill BG, Hardy NC .
Has public reporting of hospital readmission rates affected patient outcomes?: Analysis of Medicare claims data.
J Am Coll Cardiol 2016 Mar 1;67(8):963-72. doi: 10.1016/j.jacc.2015.12.037.
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Keywords: Public Reporting, Hospital Readmissions, Outcomes, Medicare, Patient-Centered Outcomes Research
Friedman B, Barbash GI, Glied SA
AHRQ Author: Friedman B, Steiner CA
Hospital revisits within 30 days after conventional and robotically assisted hysterectomy.
This study compared the rates of hospital readmissions, emergency department, and outpatient clinic visits after discharge for robotically assisted (RA) versus nonrobotic hysterectomy in women age 30 or more with nonmalignant conditions. It found that using 2 different methods to control for selection, there were higher rates of revisits among women undergoing RA versus non-RA hysterectomy for benign conditions.
AHRQ-authored
Citation: Friedman B, Barbash GI, Glied SA .
Hospital revisits within 30 days after conventional and robotically assisted hysterectomy.
Med Care 2016 Mar;54(3):311-8. doi: 10.1097/mlr.0000000000000482..
Keywords: Healthcare Cost and Utilization Project (HCUP), Hospital Readmissions, Emergency Department, Ambulatory Care and Surgery, Women
Mitchell SE, Martin J, Holmes S
AHRQ Author: Brach C
How hospitals reengineer their discharge processes to reduce readmissions.
The Re-Engineered Discharge (RED) program is a hospital-based initiative shown to decrease hospital reutilization. Researchers implemented the RED in 10 hospitals to study the implementation process. They found wide variability in the fidelity of the RED intervention. Engaged leadership and multidisciplinary implementation teams were keys to success of the program. Eight out of 10 hospitals reported improvement in 30-day readmission rates after RED implementation.
AHRQ-authored; AHRQ-funded; 290200600012I.
Citation: Mitchell SE, Martin J, Holmes S .
How hospitals reengineer their discharge processes to reduce readmissions.
J Healthc Qual 2016 Mar-Apr;38(2):116-26. doi: 10.1097/jhq.0000000000000005..
Keywords: Hospital Discharge, Hospital Readmissions, Quality Improvement
Dharmarajan K, Chaudhry SI
New approaches to reduce readmissions in patients with heart failure.
The authors discuss a study by Ong and colleagues that presents the results of Better Effectiveness After Transition–Heart Failure (BEATHF), a randomized clinical trial of a combined telemonitoring and care transitions intervention to prevent readmission in patients with heart failure. The BEAT-HF intervention did not lower readmissions after hospitalization for heart failure.
AHRQ-funded; HS023554.
Citation: Dharmarajan K, Chaudhry SI .
New approaches to reduce readmissions in patients with heart failure.
JAMA Intern Med 2016 Mar;176(3):318-20. doi: 10.1001/jamainternmed.2015.7993.
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Keywords: Heart Disease and Health, Hospital Discharge, Hospital Readmissions, Quality of Life, Transitions of Care
Kansagara D, Chiovaro JC, Kagen D
So many options, where do we start? An overview of the care transitions literature.
The purpose of this paper is to summarize the health and utilization effects of transitional care interventions, and to identify common themes about intervention types, patient populations, or settings that modify these effects. The authors found evidence that enhanced discharge planning and hospital-at-home interventions reduced readmissions. They further found that transitional care interventions reduced readmission in patients with congestive heart failure and general medical populations.
AHRQ-funded; HS022981.
Citation: Kansagara D, Chiovaro JC, Kagen D .
So many options, where do we start? An overview of the care transitions literature.
J Hosp Med 2016 Mar;11(3):221-30. doi: 10.1002/jhm.2502.
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Keywords: Caregiving, Hospital Discharge, Hospital Readmissions, Transitions of Care
Berry SA, Fleishman JA, Moore RD
AHRQ Author: Fleishman JA
Thirty-day hospital readmissions for adults with and without HIV infection.
This study compared 30-day readmission rates by HIV status in a multi-state sample with planned subgroup comparisons by insurance and diagnostic categories. After adjustment for age, gender, race, insurance, and diagnostic category, HIV infection was associated with 1.5 times higher odds of readmission. Predicted, adjusted readmission rates were higher for persons living with HIV within every insurance category, including Medicaid.
AHRQ-authored.
Citation: Berry SA, Fleishman JA, Moore RD .
Thirty-day hospital readmissions for adults with and without HIV infection.
HIV Med 2016 Mar;17(3):167-77. doi: 10.1111/hiv.12287.
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Keywords: Healthcare Cost and Utilization Project (HCUP), Human Immunodeficiency Virus (HIV), Hospital Readmissions, Medicaid, Medicare
Jiang HJ, Boutwell AE, Maxwell J
AHRQ Author: Jiang HJ
Understanding patient, provider, and system factors related to Medicaid readmissions.
This study was undertaken to understand the complexity of Medicaid readmission issues at the patient, provider, and system levels. It found that significant risk factors for Medicaid readmissions included financial stress, high prevalence of mental health and substance abuse disorders, medication nonadherence, and housing instability. Lacking awareness on Medicaid patients' high risk, a sufficient business case, and proven strategies for reducing readmissions were primary barriers for providers.
AHRQ-authored; AHRQ-funded; 290201000034I; 290201000030I.
Citation: Jiang HJ, Boutwell AE, Maxwell J .
Understanding patient, provider, and system factors related to Medicaid readmissions.
Jt Comm J Qual Patient Saf 2016 Mar;42(3):115-21.
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Keywords: Medicaid, Hospital Readmissions, Access to Care, Social Determinants of Health, Risk
Sabbatini AK, Kocher KE, Basu A
In-hospital outcomes and costs among patients hospitalized during a return visit to the emergency department.
This study examined in-hospital clinical outcomes and resource use among patients who are hospitalized during an unscheduled return visit to the ED.It found that, compared with adult patients who were hospitalized during the index ED visit and did not have a return visit to the ED, patients who were initially discharged during an ED visit and admitted during a return visit to the ED had lower in-hospital mortality.
AHRQ-funded; HS024160; HS022982.
Citation: Sabbatini AK, Kocher KE, Basu A .
In-hospital outcomes and costs among patients hospitalized during a return visit to the emergency department.
JAMA 2016 Feb 16;315(7):663-71. doi: 10.1001/jama.2016.0649.
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Keywords: Patient-Centered Outcomes Research, Hospital Readmissions, Emergency Department, Hospitalization
Iyer AS, Bhatt SP, Garner JJ
Depression is associated with readmission for acute exacerbation of chronic obstructive pulmonary disease.
The authors characterized the associations between depression and anxiety and COPD readmission risk. They found that depression is an independent risk factor for both short- and long-term readmissions for acute exacerbation of COPD and may represent a modifiable risk factor. They also found that in-hospital tobacco cessation counseling was associated with reduced 1-year readmission.
AHRQ-funded; HS013852.
Citation: Iyer AS, Bhatt SP, Garner JJ .
Depression is associated with readmission for acute exacerbation of chronic obstructive pulmonary disease.
Ann Am Thorac Soc 2016 Feb;13(2):197-203. doi: 10.1513/AnnalsATS.201507-439OC.
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Keywords: Respiratory Conditions, Depression, Hospital Readmissions, Risk, Tobacco Use
O'Connor M, Murtaugh CM, Shah S
Patient characteristics predicting readmission among individuals hospitalized for heart failure.
The authors conducted a literature review to identify heart failure patient characteristics, measured before discharge, that contribute to variation in hospital readmission rates. They found that no single patient characteristic stood out as a key contributor.
AHRQ-funded; HS020257.
Citation: O'Connor M, Murtaugh CM, Shah S .
Patient characteristics predicting readmission among individuals hospitalized for heart failure.
Med Care Res Rev 2016 Feb;73(1):3-40. doi: 10.1177/1077558715595156.
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Keywords: Heart Disease and Health, Patient-Centered Healthcare, Hospital Readmissions, Risk
Wong EG, Parker AM, Leung DG
Association of severity of illness and intensive care unit readmission: a systematic review.
This study sought to determine whether ICU readmission is associated with higher severity of illness scores in adult patients. In most of the 31 studies included in the analysis, severity of illness scores were higher in patients readmitted to the ICU. Readmission was also associated with higher mortality and longer ICU and hospital stays.
AHRQ-funded; HS022916.
Citation: Wong EG, Parker AM, Leung DG .
Association of severity of illness and intensive care unit readmission: a systematic review.
Heart Lung 2016 Jan-Feb;45(1):3-9.e2. doi: 10.1016/j.hrtlng.2015.10.040.
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Keywords: Intensive Care Unit (ICU), Hospital Readmissions, Hospital Discharge, Outcomes
Jubelt LE, Goldfeld KS, Chung WY
Changes in discharge location and readmission rates under Medicare bundled payment.
To control costs, NYU Langone Medical Center attempted to shift referrals from facility-based to home-based postacute care. In the context of this shift in referrals, the researchers examined the change in hospital readmission rates. Their findings suggest that institutions may be able to shift some patients from facility-based to home-based postacute care without adversely affecting hospital readmission rates or the length of hospital stay.
AHRQ-funded; HS023683; HS022882.
Citation: Jubelt LE, Goldfeld KS, Chung WY .
Changes in discharge location and readmission rates under Medicare bundled payment.
JAMA Intern Med 2016 Jan;176(1):115-7. doi: 10.1001/jamainternmed.2015.6265.
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Keywords: Medicare, Hospital Discharge, Hospital Readmissions, Home Healthcare, Healthcare Costs
Fisher SR, Graham JE, Krishnan S
Predictors of 30-day readmission following inpatient rehabilitation for patients at high risk for hospital readmission.
The purpose of this study was to identify variables in the full administrative medical record, particularly in regard to physical function, that could help clinicians further discriminate between patients who are and are not likely to be readmitted to an acute care hospital within 30 days of rehabilitation discharge. It found that functional outcomes and rehabilitation length of stay were the best predictors of 30-day rehospitalization.
AHRQ-funded; HS022134.
Citation: Fisher SR, Graham JE, Krishnan S .
Predictors of 30-day readmission following inpatient rehabilitation for patients at high risk for hospital readmission.
Phys Ther 2016 Jan;96(1):62-70. doi: 10.2522/ptj.20150034..
Keywords: Hospital Readmissions, Rehabilitation, Outcomes, Risk, Elderly
Chavez LJ, Liu CF, Tefft N
Unhealthy alcohol use in older adults: association with readmissions and emergency department use in the 30 days after hospital discharge.
This study examined the association between AUDIT-C alcohol screening results and 30-day readmissions or ED visits. Alcohol screening results indicating high-risk drinking that were available in medical records were modestly associated with risk for 30-day readmissions and were not associated with risk for ED visits.
AHRQ-funded; HS022800.
Citation: Chavez LJ, Liu CF, Tefft N .
Unhealthy alcohol use in older adults: association with readmissions and emergency department use in the 30 days after hospital discharge.
Drug Alcohol Depend 2016 Jan;158:94-101. doi: 10.1016/j.drugalcdep.2015.11.008.
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Keywords: Alcohol Use, Elderly, Emergency Department, Hospital Readmissions, Lifestyle Changes