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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 5 of 5 Research Studies DisplayedHsuan C, Carr BG, Hsia RY
Assessment of hospital readmissions from the emergency department after implementation of Medicare's hospital readmissions reduction program.
The purpose of this study was to examine whether the Medicare Hospital Readmissions Reduction Program (HRRP) was associated with changes in the probability of readmission at emergency department (ED) visits after hospital discharge (ED revisits) overall and depending on whether admission is typically indicated for the patient's condition at the ED revisit. Using hospital and ED discharge data from California, Florida, and New York, findings suggested that implementation of the HRRP was associated with a lower likelihood of readmission for recently discharged patients presenting to the ED, specifically for congestive heart failure. These findings highlighted the critical role of the ED in readmission reduction under the HRRP and suggested that patient outcomes after HRRP implementation merit further study.
AHRQ-funded; HS025838.
Citation: Hsuan C, Carr BG, Hsia RY .
Assessment of hospital readmissions from the emergency department after implementation of Medicare's hospital readmissions reduction program.
JAMA Netw Open 2020 May;3(5):e203857. doi: 10.1001/jamanetworkopen.2020.3857..
Keywords: Healthcare Cost and Utilization Project (HCUP), Emergency Department, Hospital Readmissions, Hospital Discharge, Hospitals, Medicare
Dharmarajan K, Qin L, Bierlein M
Outcomes after observation stays among older adult Medicare beneficiaries in the USA: retrospective cohort study.
This study characterized rates and trends over time of emergency department treatment-and-discharge stays, repeat observation stays, inpatient stays, any hospital revisit, and death within 30 days of discharge from observation stays. Hospital revisits are common after discharge from observation stays, frequently result in inpatient hospitalizations, and have increased over time among Medicare beneficiaries.
AHRQ-funded; HS023000.
Citation: Dharmarajan K, Qin L, Bierlein M .
Outcomes after observation stays among older adult Medicare beneficiaries in the USA: retrospective cohort study.
BMJ 2017 Jun 20;357:j2616. doi: 10.1136/bmj.j2616.
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Keywords: Elderly, Emergency Department, Hospital Discharge, Hospital Readmissions, Medicare
Singh S, Lin YL, Nattinger AB
Variation in readmission rates by emergency departments and emergency department providers caring for patients after discharge.
This study of Texas acute-care hospitals and ED facilities has found that the risk of readmission varies by ED provider caring for patients after discharge. A large part of this variation is explained by the ED facility in which the ED providers practice. Thus, ED provider practices patterns and ED facility systems of care may be a target for interventions to reduce readmissions.
AHRQ-funded; HS022134.
Citation: Singh S, Lin YL, Nattinger AB .
Variation in readmission rates by emergency departments and emergency department providers caring for patients after discharge.
J Hosp Med 2015 Nov;10(11):705-10. doi: 10.1002/jhm.2407.
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Keywords: Emergency Department, Elderly, Hospital Discharge, Hospital Readmissions, Medicare
Toth M, Holmes M, Van Houtven C
Rural Medicare beneficiaries have fewer follow-up visits and greater emergency department use postdischarge.
This study tested whether rural Medicare beneficiaries have a lower likelihood of follow-up care and greater likelihood of a readmission and ED visit within 30 days postdischarge, compared with urban beneficiaries. The results provide evidence of lower quality postdischarge care for Medicare beneficiaries in rural settings.
AHRQ-funded; HS000032.
Citation: Toth M, Holmes M, Van Houtven C .
Rural Medicare beneficiaries have fewer follow-up visits and greater emergency department use postdischarge.
Med Care 2015 Sep;53(9):800-8. doi: 10.1097/mlr.0000000000000401..
Keywords: Rural Health, Elderly, Medicare, Hospital Readmissions, Emergency Department, Hospital Discharge
Gabayan GZ, Sarkisian CA, Liang LJ
Predictors of admission after emergency department discharge in older adults.
The objective of this study was to identify the incidence and predictors of admissions to nonfederal California hospitals within 7 days of ED discharge of older Medicare beneficiaries. It found that five percent of older Medicare beneficiaries have a hospital inpatient admission after discharge from the ED, with chronic disease such as renal disease and heart failure being associated with the greatest odds of admission.
AHRQ-funded; HS18098.
Citation: Gabayan GZ, Sarkisian CA, Liang LJ .
Predictors of admission after emergency department discharge in older adults.
J Am Geriatr Soc 2015 Jan;63(1):39-45. doi: 10.1111/jgs.13185..
Keywords: Elderly, Emergency Department, Hospital Discharge, Hospital Readmissions, Medicare