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Quality collaboratives and campaigns to reduce readmissions: what strategies are hospitals using?


ABSTRACT: Reducing hospital readmissions is a national priority, and many hospitals are participating in quality collaboratives or campaigns.To describe and compare the current use of hospital strategies to reduce readmissions in 2 prominent quality initiatives-STAAR (State Action on Avoidable Rehospitalization) and H2H (Hospital-to-Home Campaign).Cross-sectional.Web-based survey of hospitals that had enrolled in H2H or STAAR from May 2009 through June 2010, conducted from November 1, 2010 through June 30, 2011 (n?=?599, response rate of 91%). We used standard frequency analysis and multivariable logistic regression to describe differences between STAAR and H2H hospitals.Many hospitals were not implementing several of the recommended strategies. Although STAAR hospitals tended to be more likely to implement several strategies, differences were attenuated when we adjusted for region and ownership type. In multivariable models, STAAR hospitals compared with H2H hospitals were more likely to ensure outpatient physicians were alerted within 48 hours of patient discharge (63% vs 38%, P?

SUBMITTER: Bradley EH 

PROVIDER: S-EPMC4029612 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature

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Quality collaboratives and campaigns to reduce readmissions: what strategies are hospitals using?

Bradley Elizabeth H EH   Sipsma Heather H   Curry Leslie L   Mehrotra Devi D   Horwitz Leora I LI   Krumholz Harlan H  

Journal of hospital medicine 20130906 11


<h4>Background</h4>Reducing hospital readmissions is a national priority, and many hospitals are participating in quality collaboratives or campaigns.<h4>Objective</h4>To describe and compare the current use of hospital strategies to reduce readmissions in 2 prominent quality initiatives-STAAR (State Action on Avoidable Rehospitalization) and H2H (Hospital-to-Home Campaign).<h4>Design</h4>Cross-sectional.<h4>Methods</h4>Web-based survey of hospitals that had enrolled in H2H or STAAR from May 200  ...[more]

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