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.
Publication/Presentation Date
9-3-2020
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.
Volume
10
Issue
5
First Page
413
Last Page
418
ISSN
2000-9666
Published In/Presented At
Macchio, P., Farrell, L., Kumar, V., Illyas, W., Barnes, M., Patel, H., Silverman, A. L., Hong Le, T., Siddique, H., Raminfard, A., Tofano, M., Sokol, J., Haggerty, G., Kaell, A., Rabbani, S., & Faro, J. (2020). 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. Journal of community hospital internal medicine perspectives, 10(5), 413–418. https://doi.org/10.1080/20009666.2020.1800910
Disciplines
Medicine and Health Sciences
PubMedID
33235674
Department(s)
Department of Medicine
Document Type
Article