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Impact of the Development of a Regional Collaborative to Reduce 30-Day Heart Failure Readmissions

Pollard, Joy PhD, ACNP-BC; Oliver-McNeil, Sandra DNP, ACNP-BC; Patel, Shilpa BS; Mason, Lisa BSN, RN; Baker, Harolyn MPH

doi: 10.1097/NCQ.0000000000000116
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Thirty-day heart failure readmissions can be reduced if multiple interventions, such as 7-day postdischarge follow-up, are implemented, but this task is challenging for health systems. Ten hospitals participated in a multisystem collaborative implementing evidence-based strategies. The overall 30-day readmission rate was reduced more in the collaborating hospitals than in the noncollaborating hospitals (from 29.32% to 27.66% vs from 27.66% to 26.03%, P = .008). Regional collaboration between health care systems within a quality improvement project was associated with reduced 30-day readmission.

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St Joseph Mercy Oakland, Pontiac, Michigan (Dr Pollard); College of Nursing, Wayne State University, Detroit, Michigan (Dr Oliver-McNeil); American College of Cardiology, Washington, District of Columbia (Ms Patel); Greater Detroit Area Health Council, Southfield, Michigan (Ms Mason); and MPRO, Farmington Hills, Michigan (Ms Baker).

Correspondence: Sandra Oliver-McNeil, DNP, ACNP-BC, College of Nursing, Wayne State University, 5777 Cass Ave, 312 Cohn Bldg, Detroit, MI 48202 (ab0224@wayne.edu).

This project was made possible in part by funding from the Robert Wood Johnson Foundation.

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).

Accepted for publication: December 27, 2014

Published ahead of print: February 2, 2015

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