Admission diagnoses among patients with heart failure: Variation by ACO performance on a measure of risk-standardized acute admission rates
American Heart Journal Dec 16, 2018
Benchetrit L, et al. - Given that understanding the types of admissions and the distribution of admission types across Accountable Care Organizations (ACOs) caring for heart failure (HF) patients could help lowering admission rates, researchers analyzed admission diagnoses among 220 Medicare Shared Savings Program ACOs in 2013 and taking into account admissions categorized by principal discharge diagnosis into: HF, cardiovascular/non-HF, and noncardiovascular. A tendency to have fewer admissions for HF, cardiovascular/non-HF, and noncardiovascular conditions was reported for ACOs with the best performance on a measure of all-cause admission rates among people with HF vs ACOs with the worst performance (highest admission rates), the largest difference in admission rates were for noncardiovascular admission types. Noncardiovascular causes were responsible for two-thirds of admissions of patients with HF across all ACOs. There is a need for comprehensive approaches to reduce the diverse admission types for which HF patients are at risk.
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