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Comment & Response |

Strategies to Reduce Heart Failure Readmissions

Elizabeth H. Bradley, PhD1; Leslie A. Curry, MPH, PhD1; Harlan M. Krumholz, MD, SM1
[+] Author Affiliations
1Department of Health Management and Policy, Yale School of Public Health, New Haven, Connecticut
JAMA. 2014;311(11):1160. doi:10.1001/jama.2014.678.
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To the Editor The Viewpoint by Dr Butler and colleagues1 seems to misinterpret our recent work2 by suggesting that none of the 10 widely promoted strategies for reducing readmission for patients with heart failure was effective.

Our study2 evaluated the relationship between risk-standardized readmission rates and hospital strategies to improve transitions in care. A total of 599 hospitals (91% response rate) enrolled in the Hospital-to-Home quality campaign sponsored by the American College of Cardiology completed the survey. We found several individual strategies that were associated with significantly lower risk-standardized 30-day readmission rates in multivariable analysis.


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March 19, 2014
Javed Butler, MD, MPH; Gregg C. Fonarow, MD; Mihai Gheorghiade, MD
1Emory University, Atlanta, Georgia
2University of California, Los Angeles
3Center for Cardiovascular Innovation, Northwestern University, Chicago, Illinois
JAMA. 2014;311(11):1160-1161. doi:10.1001/jama.2014.683.
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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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