Navigation Links
Electronic discharge tool reduces hospital readmissions in heart failure patients
Date:3/7/2013

SAN FRANCISCO (March 7, 2013) The use of electronic discharge orders aimed at providing evidence-based decision support and clear instructions to heart failure patients helped increase compliance with quality care measures and lowered hospital readmission rates, according to research being presented at the American College of Cardiology's 62nd Annual Scientific Session.

Despite more widespread use of standardized discharge orders and evidence suggesting their effectiveness, little is known about how they impact adherence to quality measures or hospital readmission rates among heart failure patients. This study showed use of a computerized discharge system was associated with a 23 percent lower all-cause hospital readmission rate and a 10-fold increase in compliance with quality care measures.

Researchers conducted a retrospective study of heart failure patients discharged from 11 hospitals across Utah between January 2011 and September 2012 to determine whether the use of an electronic discharge orders tool was associated with higher adherence to core measuresconsidered medical "best practices" in heart failure careand lower hospital readmissions. As part of the Affordable Care Act's effort to improve quality while also saving taxpayers dollars, Medicare has recently started fining hospitals that have too many patients readmitted within 30 days of their dischargea widely accepted marker of sub-optimal care. The electronic discharge tool, first piloted in 2010, was designed to cover all aspects of the discharge process and includes integrated decision-support tools and safeguards to guide clinicians through the recommended steps for heart failure patients.

"The tool was designed by our most skilled cardiovascular practitioners to mirror the workflow of the physician and provide evidence-based decision support for cardiovascular care," said Jose G. Benuzillo, MA, MS, a senior outcomes analyst at Intermountain Healthcare in Salt Lake City and the study's lead investigator. "Use of this tool reduces variation in practice between the most skilled and experienced specialists in cardiovascular care and more general practitioners who see cardiovascular patients more infrequently."

He said it has also improved communication between the patient and clinician by providing a clear, legible document that addresses all best practice orders, instructions and medications.

Adherence to the heart failure core measures was evaluated on three inpatient quality measures including provision of discharge instructions to patients, appropriate assessment of heart pumping ability and the prescription of evidence-based medications or documentation of contraindication. The primary outcome was readmission of discharged heart failure patients to the hospital within 30 days from any cause.

There were 2,409 inpatient hospitalizations that were eligible to measure readmission (also called index admissions) and adhered to at least one core measure. The discharge orders tool was used in 55 percent of these encounters. Full adherence to all three quality measures was higher among patients discharged with the electronic tool. The observed readmission rate among patients discharged with and without the electronic discharge orders tool was 15.5 and 18 percent, respectively. After adjusting for length of stay, age, sex and severity of illness, researchers found that the likelihood of readmission was even lower among patients discharged with the electronic tool.

Dr. Benuzillo adds that in addition to improving patient care, electronic discharge tools like these could help hospitals financially by reducing reimbursement penalties for readmission of patients within 30 days following discharge from their initial hospitalization.


'/>"/>

Contact: Beth Casteel
bcasteel@acc.org
240-328-4549
American College of Cardiology
Source:Eurekalert

Related medicine news :

1. New twist on ancient math problem could improve medicine, microelectronics
2. New American Chemical Society video: Behind the scenes tour of an electronic nose lab
3. Through The Use Of Twitter, EverSmoke, A Popular Electronic Cigarettes Company, Is Encouraging Fans to Finish the Hashtag #iPlanToBe With What They Plan to Be
4. Study examines use of a natural language processing tool for electronic health records in assessing colonoscopy quality
5. A Safe Cigarette? Yes, Electronic Cigarettes Are Carcinogen-Free
6. Electronic Cigarettes Proven as One of the Most Effective Ways to Quit Smoking
7. Electronic data methods research seeks to build a learning health care system
8. New Electronic Cigarette Free Trial Kit Adds More Years to Smokers Life by Making it Easy to Quit Smoking
9. Unique program bringing electronic medical record data to ambulances lauded
10. New Electronic Cigarette Cartridges From V2Cigs For The Summer
11. Electronic Cigarette Hub Offering Electronic Cigarette Kit with Risk Free Trial
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... , ... December 02, 2016 , ... "Pro3rd Accents Volume ... editors to create versatile lower third titles with just a few clicks of the ... Volume 2 includes 30 lower third animations. Choose from various styles with accented animations, ...
(Date:12/2/2016)... ... December 02, 2016 , ... ... to needy individuals and families from eight different sites throughout Miami-Dade and Broward ... Over 1,000 volunteers worked very hard on Thanksgiving morning by putting together individual ...
(Date:12/2/2016)... , ... December 02, 2016 , ... ... Laboratory Scientist & Author of Type 2 Diabetes: The Owner’s Manual, http://realtimepressrelease.com/press-releases-tagged-with/daryl-wein ... Sharon Kleyne Hour Power of Water, Global Climate Change and Your Health radio ...
(Date:11/30/2016)... Massachusetts (PRWEB) , ... November 30, 2016 , ... ... proud to announce that we have been designated as a Cigna Infertility Center ... or exceed rigorous performance standards. , “It’s an honor to be designated ...
(Date:11/30/2016)... ... 30, 2016 , ... "I hate when the mixture of saliva and toothpaste ... an inventor from Bridgewater, N.J. "I thought that there had to be a way ... developed the patent-pending DEFLECTOR to prevent saliva and toothpaste from running down the brush ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... bioLytical Laboratories, ein Weltführer bei schnellen Tests für Infektionskrankheiten, hat sein ... eingeführt. Continue Reading ... ... , ... ) bioLytical wurde durch die Clinton Health Access ...
(Date:12/2/2016)... , Dec. 2, 2016   CytoSorbents Corporation ... commercializing its European Union approved CytoSorb ® cytokine ... surgery patients worldwide, announced that Dr. Phillip Chan ... 9th Annual LD Micro Main Event investor conference ... at the Luxe Sunset Boulevard Hotel in ...
(Date:12/2/2016)... LYME, Conn. , Dec. 1, 2016  Today, ... has announced the honor of being selected as winners ... include: Simpson Healthcare Executives Website at the PLATINUM level, ... Conversations Training Module at the GOLD Level, and our ... At Simpson Healthcare Executives, we are excited ...
Breaking Medicine Technology: