Featured Research

from universities, journals, and other organizations

New tool to eliminate 30-day hospital readmissions in heart failure patients

Date:
March 10, 2013
Source:
Intermountain Medical Center
Summary:
Researchers have developed an innovative tool designed to eliminate 30-day hospital readmissions for heart failure patients and improve the quality of medical care a patient receives in the hospital.

Researchers at the Intermountain Heart Institute at Intermountain Medical Center have developed an innovative tool designed to eliminate 30-day hospital readmissions for heart failure patients and improve the quality of medical care a patient receives in the hospital.

The tool, known as the IMRS-HF, was adapted from the Intermountain Risk Score (IMRS) that has been used at Intermountain Medical Center to predict mortality rates in trauma patients.

Heart researchers discovered that by using the IMRS-HF, they could more accurately evaluate a patient's condition prior to discharge, and ensure there is less risk of the patient being readmitted for the same condition within 30 days.

"The IMRS-HF is another step forward in using evidence-based care to improve the quality of medical care provided to heart failure patients during a hospital stay," said Benjamin Horne, PhD, director of cardiovascular and genetic epidemiology at the Intermountain Heart Institute at Intermountain Medical Center, and lead researcher. "When implemented, this gives physicians an effective, real-time tool to help assure patients are in a healthy position for discharge."

Researchers designed the tool following an extensive examination of more than 6,000 electronic medical records involving discharged heart failure patients from Intermountain Healthcare hospitals between 1999 and 2011.

The IMRS-HF tool was then validated using 459 patients hospitalized between April 2011 and October 2012. Using this new tool, researchers discovered that male patients with a score higher than 15 (on a 1-19 scale) were 8.5 times more likely to be readmitted within 30 days compared to a male patient with a score between one and eight. Women with a score of 5-9 (on a 0-9 scale) were twice as likely to be readmitted than a female patient with a score between 0-3.

Results of the project were presented at the American College of Cardiology's Annual Scientific Session in San Francisco on Saturday, March 9.

This research is especially timely because under the Affordable Care Act (ACA), hospitals receive Medicare reimbursement penalties for heart attack, heart failure or pneumonia patients who are discharged from the hospital and readmitted within 30 days for the same condition.

The IMRS-HF tool was composed using a statistical model that analyzes the effect of several variables on a specific event using survival methods. The IMRS-HF tool combines all this information into a risk score that tells the physician how likely the patient is to be readmitted within 30 days.

The score would be calculated when a heart failure patient is admitted to the hospital and included in the patient's individual electronic medical records. The components of the score are typically available in electronic medical records. The score would then be available to the physician as an alert to keep in mind as treatment decisions are made.

Planning for making the score available at Intermountain Healthcare hospitals is now underway.

"Our next step is to look at ways to integrate this tool into the planning for all of our heart failure patients so we can reduce the number of 30-day readmissions and provide better quality care at a lower cost," said Dr. Horne.

The IMRS-HF tool also uses some laboratory components from the complete blood count and basic metabolic panel, but also adds additional factors such as hospital length of stay, and patient co-morbidities.


Story Source:

The above story is based on materials provided by Intermountain Medical Center. Note: Materials may be edited for content and length.


Cite This Page:

Intermountain Medical Center. "New tool to eliminate 30-day hospital readmissions in heart failure patients." ScienceDaily. ScienceDaily, 10 March 2013. <www.sciencedaily.com/releases/2013/03/130310164227.htm>.
Intermountain Medical Center. (2013, March 10). New tool to eliminate 30-day hospital readmissions in heart failure patients. ScienceDaily. Retrieved July 29, 2014 from www.sciencedaily.com/releases/2013/03/130310164227.htm
Intermountain Medical Center. "New tool to eliminate 30-day hospital readmissions in heart failure patients." ScienceDaily. www.sciencedaily.com/releases/2013/03/130310164227.htm (accessed July 29, 2014).

Share This




More Health & Medicine News

Tuesday, July 29, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Deadly Ebola Virus Threatens West Africa

Deadly Ebola Virus Threatens West Africa

AP (July 28, 2014) West African nations and international health organizations are working to contain the largest Ebola outbreak in history. It's one of the deadliest diseases known to man, but the CDC says it's unlikely to spread in the U.S. (July 28) Video provided by AP
Powered by NewsLook.com
$15B Deal on Vets' Health Care Reached

$15B Deal on Vets' Health Care Reached

AP (July 28, 2014) A bipartisan deal to improve veterans health care would authorize at least $15 billion in emergency spending to fix a veterans program scandalized by long patient wait times and falsified records. (July 28) Video provided by AP
Powered by NewsLook.com
Two Americans Contract Ebola in Liberia

Two Americans Contract Ebola in Liberia

Reuters - US Online Video (July 28, 2014) Two American aid workers in Liberia test positive for Ebola while working to combat the deadliest outbreak of the virus ever. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Traditional African Dishes Teach Healthy Eating

Traditional African Dishes Teach Healthy Eating

AP (July 28, 2014) Classes are being offered nationwide to encourage African Americans to learn about cooking fresh foods based on traditional African cuisine. The program is trying to combat obesity, heart disease and other ailments often linked to diet. (July 28) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins