{"id":37,"date":"2021-03-10T15:24:21","date_gmt":"2021-03-10T20:24:21","guid":{"rendered":"http:\/\/community.mis.temple.edu\/ayabakan\/?p=37"},"modified":"2021-03-10T15:24:21","modified_gmt":"2021-03-10T20:24:21","slug":"triple-aim-and-the-hospital-readmission-reduction-program","status":"publish","type":"post","link":"https:\/\/community.mis.temple.edu\/ayabakan\/2021\/03\/10\/triple-aim-and-the-hospital-readmission-reduction-program\/","title":{"rendered":"Triple Aim and the Hospital Readmission Reduction Program"},"content":{"rendered":"

Triple Aim and the Hospital Readmission Reduction Program<\/h2>\n

Sezgin Ayabakan, Indranil Bardhan, Zhiqiang (Eric) Zheng<\/h3>\n

Abstract<\/h4>\n

Objectives:<\/strong>
\nDespite substantial attention on hospital readmission rates, the impact of the Hospital Readmission Reduction Program (HRRP) on a comprehensive set of Triple Aim goals has not been studied: improve hospital quality, reduce cost, and improve patient experience.<\/p>\n

Methods:<\/strong>
\nWe analyze inpatient claims data from 2006 to 2015 from the Dallas Fort Worth Hospital Council Foundation with a panel of 27,397 patients with chronic obstructive pulmonary disease and congestive heart failure. We deploy a quasi-natural experiment using a difference-in-difference specification to estimate the effect of HRRP effect on readmission rates, length of stay (LOS), and hospital satisfaction.<\/p>\n

Results:<\/strong>
\nWe find that the likelihood of 30-day readmissions declined by 2.6%, average LOS decreased by 7.9%, and overall hospital rating increased by 2.1% among hospitals that fell under the scope of the HRRP, compared to non-HRRP hospitals. Our results provide evidence of a spillover effect of the HRRP in terms of its impact not only on Medicare patients, but across all insurance types, and other performance measures such as cost and patient experience.<\/p>\n

Conclusion:<\/strong>
\nOur findings indicate that HRRP hospitals do not trade-off reductions in readmission rates with lower quality across other patient health outcomes. Rather, we find evidence that the HRRP has affected all 3 dimensions of the Triple Aim with respect to patient and hospital outcomes.<\/p>\n

Health Services Research and Managerial Epidemiology. January 2021<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Triple Aim and the Hospital Readmission Reduction Program Sezgin Ayabakan, Indranil Bardhan, Zhiqiang (Eric) Zheng Abstract Objectives: Despite substantial attention on hospital readmission rates, the impact of the Hospital Readmission Reduction Program (HRRP) on a comprehensive set of Triple Aim goals has not been studied: improve hospital quality, reduce cost, and improve patient experience. Methods: […]<\/p>\n","protected":false},"author":17227,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[732460,198],"tags":[790345,790347,790348,790346,790349],"class_list":["post-37","post","type-post","status-publish","format-standard","hentry","category-featured","category-research","tag-hospital-readmission-reduction-program","tag-length-of-stay","tag-patient-satisfaction","tag-readmission","tag-triple-aim"],"jetpack_featured_media_url":"","featured_image_src":null,"featured_image_src_square":null,"author_info":{"display_name":"Sezgin Ayabakan","author_link":"https:\/\/community.mis.temple.edu\/ayabakan\/author\/sezgin-ayabakan\/"},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/posts\/37","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/users\/17227"}],"replies":[{"embeddable":true,"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/comments?post=37"}],"version-history":[{"count":1,"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/posts\/37\/revisions"}],"predecessor-version":[{"id":38,"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/posts\/37\/revisions\/38"}],"wp:attachment":[{"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/media?parent=37"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/categories?post=37"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/community.mis.temple.edu\/ayabakan\/wp-json\/wp\/v2\/tags?post=37"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}