John Hollingsworth

John Hollingsworth M.D. is a urologist at Michigan Medicine and the Director of Population Based Measures for MVC

Members of the MVC Data Coordinating Center recently published findings from a study evaluating whether a hospital’s participation in voluntary value-based reforms was associated with greater improvement under Medicare’s Hospital Readmission Reduction Program (HRRP).

The authors analyzed data from Hospital Compare on readmissions for over 2800 hospitals between 2008 and 2015. They assessed hospital participation in Meaningful Use (MU) of Electronic Health Records, the Bundled Payment for Care Initiative (BPCI), and Medicare’s Pioneer and Shared Savings accountable care organization (ACO) programs.

They found that at nonparticipating hospitals, the association between the HRRP and 30-day readmissions was -0.76 percentage points for patients hospitalized with acute myocardial infarction (AMI). Participation in MU alone was associated with an additional change in 30-day readmissions of -0.78 percentage points for AMI. Participation in ACO programs alone was associated with an additional change in 30-day readmission of -.094 percentage points for AMI. Participation in multiple reforms led to even greater improvement  (-1.27 percentage points for AMI).

Collectively, these findings support Medicare’s multipronged strategy for improving hospital quality and value.

The article summarizes these results appeared in the April 10th issue of JAMA Internal Medicine (available at: http://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2617280).

 

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