1. 30-day readmission prevention program in heart failure patients (RAP-HF) in a community hospital: creating a task force to improve performance in achieving CMS target goals
- Author
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Shuaib Rabbani, Wajiah Illyas, Haseeb Siddique, Joan Faro, Phyllis Macchio, Alan Kaell, Martin Barnes, Lorraine Farrell, Michael Tofano, Thuy Le Md, Andrew L. Silverman, Jacob Sokol, Albert Raminfard, Greg Haggerty, Vikas Kumar, and Himani Patel
- Subjects
lcsh:Internal medicine ,Quality management ,business.industry ,Task force ,Psychological intervention ,Heart failure ,030204 cardiovascular system & hematology ,medicine.disease ,Community hospital ,quality improvement ,readmissions ,Teaching hospital ,03 medical and health sciences ,0302 clinical medicine ,Internal Medicine ,Medicine ,030212 general & internal medicine ,Medical emergency ,lcsh:RC31-1245 ,business ,community hospital ,Medicaid ,Research Article - Abstract
In 2012, Centers for Medicare and Medicaid Services (CMS) announced it would penalize any hospitals that had 30-day readmission rates for heart failure (HF) patients above 20%. Mather Hospital Northwell Health, a community teaching hospital, organized a proactive task force to meet these goals. We describe our hospital-wide Readmission Prevention in Heart Failure (RAP-HF) project. We focused on the following interventions: early identification of patients at risk for readmission, discipline-specific mitigation planning by the interdisciplinary rounding team, enhanced medication education for heart failure patients, education of family/caregivers on medication and heart failure symptoms, facilitation in scheduling of post-discharge follow up visits and hard-wired communication between hospital and post-discharge care providers. We saw a 25.53% decrease in 30-day readmission rates.
- Published
- 2020
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