%0 Journal Article
%T Improving Heart Failure Readmission Costs and Outcomes With a Hospital
%A Bryan T. Lawlor
%A Carolyn Brady
%A George Stukenborg
%A James D. Bergin
%A Jamie L. W. Kennedy
%A Juanita Reigle
%A Kenneth Bilchick
%A Kenneth Scully
%A Mohammed Abuannadi
%A S. Craig Thomas
%A Sula Mazimba
%A Timothy Welch
%A Travis Moss
%A Wayne Levy
%J American Journal of Medical Quality
%@ 1555-824X
%D 2019
%R 10.1177/1062860618788436
%X A retrospective cohort study was performed of the Hospital-to-Home (H2H) program, a rapid clinic follow-up program for patients with recent heart failure (HF) admissions at the University of Virginia Health System. There were 6761 hospitalizations among 4685 patients (age 67.5 ¡À 14.2 years, 43.9% female), and 759 had H2H follow-up. Thirty day mortality after the initial HF hospitalization was lower in H2H patients (1.84% vs 3.13%; P = .049), and this difference remained significant after adjustment in a multivariable logistic regression model (odds ratio = 0.56 [95% CI = 0.31-099]; P = .046). There also was a 24% reduction in readmission days within the first 30 days after the index admission (P < .0001), and readmission cost savings were found to be greater than the costs of staffing the H2H clinic. In summary, the H2H program is cost-effective, with significant improvements in survival, readmission days, and readmission costs over 30 days
%K heart failure
%K readmissions
%U https://journals.sagepub.com/doi/full/10.1177/1062860618788436