Evidence of the Linkage Between Hospital-based Care Coordination Strategies and Hospital Overall (Star) Ratings
Dados Bibliográficos
| ID | 9103230 |
|---|---|
| Autores | Ivy Benjenk (0000-0002-5057-9300, Creative Commons), Luisa Franzini (0000-0002-7068-1185, Creative Commons), Jie Chen (0000-0002-9254-4413, Creative Commons) |
| Ano | 2020 |
| Volume | 58 |
| Fascículo | 1 |
| Páginas | 18-26 |
| Data de publicação | 2020-01-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Medical Care (JOURNAL) |
| Identificadores do periódico | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editora | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001226 |
| PMID | 31725493 |
| OpenAlex | W2986290907 |
| Idioma | EN |
| Referências citadas | 22 |
BACKGROUND: In the new era of value-based payment models and pay for performance, hospitals are in search of the silver bullet strategy or bundle of strategies capable of improving their performance on quality measures. OBJECTIVES: To determine whether there is an association between adoption of hospital-based care coordination strategies and Centers for Medicare and Medicaid Services overall hospital quality (star) ratings and readmission rates. RESEARCH DESIGN: We used survey data from the American Hospital Association (AHA) and categorized respondents by the number of care coordination strategies that they reported having widely implemented. We used multiple logistic regression models to examine the association between the number of strategies and hospital overall rating performance and disease-specific 30-day excess readmission ratios, while controlling for hospital and county characteristics and state-fixed effects. SUBJECTS: A total of 710 general acute care noncritical access hospitals that received star ratings and responded to the 2015 AHA Care Systems and Payment Survey. MEASURES: Centers for Medicare and Medicaid Services overall hospital ratings, 30-day excess readmission ratios. RESULTS: As compared with hospitals with 0-2 strategies, hospitals with 3 to 4 strategies (P=0.007), 5-7 strategies (P=0.002), or 8-12 strategies (P=0.002) had approximately 2.5× the odds of receiving a top rating (4 or 5 stars). Care coordination strategies were positively associated with lower 30-day readmission ratios for patients with chronic medical conditions, but not for surgical patients. Medication reconciliation, visit summaries, outreach after discharge, discharge care plans, and disease management programs were each individually associated with top ratings. CONCLUSIONS: Care coordination strategies are associated with high overall hospital ratings
Business · Emergency department · Family medicine · Health care · Logistic regression · Management system · Medicaid · Medical emergency · Odds · Odds ratio · Operations management · Payment · Quality management · Emergency Medicine · Healthcare Policy and Management · Heart Failure Treatment and Management · Internal Medicine · Medicine · Nursing · Primary Care and Health Outcomes
Coordinating Care — A Perilous Journey through the Health Care System
The Care Transitions Intervention
Comprehensive Discharge Planning and Home Follow-up of Hospitalized Elders
State Variation in Quality Outcomes and Disparities in Outcomes in Community Health Centers
Local Health Departments’ Promotion of Mental Health Care and Reductions in 30-Day All-Cause Readmission Rates in Maryland
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |