Heart Failure Readmissions: “Heart 100” Hospital (Study #1)

Heart Failure
Includes all CHF- related DRGs
N = 425

74%

Reduction in readmissions in less than 31 days post discharge

Nationally recognized “Heart 100” hospital 400-bed, close-in suburb of Chicago, IL

100%

Reduction in returns to the ER in less than 31 days post discharge

8 hour

reduction in length of stay on readmit

 

ANNUAL PROJECTIONS

Control group = 394

23.35%

readmission rate

92

readmissions per year

3.30%

return to the ER

13

returns to the ER per year

6.86

days LOS on readmit

6.86

days LOS on readmit

Care Kit group = 31

8.7%

readmission rate

34

readmissions per year

0%

returns to the ER

0

returns to the ER

6.50

days LOS on readmit

6.50

days LOS on readmit

Control Group is retrospective data, 2001. Care Kit Group is one quarter, 2002. Selection criteria: patients discharged to home or home care weighing 300 pounds or less. Data collected from medical records. Readmission DRGs include 014, 015, 023, 073, 079, 088, 099, 090, 107, 115, 116, 120, 121, 124, 128, 130, 138, 141, 143, 145, 182, 183, 294, 296, 316, 403, and 468.

HIGHLIGHTS: Patients may be readmitted with CHF symptoms and be treated as CHF patients, but get a code that is different than DRG 127. For the first time, this hospital looked at all CHF-related readmissions and discovered that the readmission rate was much higher than the rate for 127 alone.