scholarly journals Readmission Rates for Chronic Obstructive Pulmonary Disease Under the Hospital Readmissions Reduction Program: an Interrupted Time Series Analysis

2020 ◽  
Vol 35 (12) ◽  
pp. 3581-3590
Author(s):  
Russell G. Buhr ◽  
Nicholas J. Jackson ◽  
Gerald F. Kominski ◽  
Steven M. Dubinett ◽  
Carol M. Mangione ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Time Series ◽  
Time Series Analysis ◽  
Hospital Readmissions ◽  
Interrupted Time Series ◽  
Chronic Obstructive ◽  
Interrupted Time Series Analysis ◽  
Readmission Rates ◽  
Obstructive Pulmonary Disease ◽  
Reduction Program

scholarly journals Effects of an integrated respiratory service on Chronic Obstructive Pulmonary Disease hospital admissions in England: An interrupted time series analysis

2020 ◽  
pp. 135581962097405 ◽  
Author(s):  
Martha MC Elwenspoek ◽  
Tim Jones ◽  
James W Dodd
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Time Series ◽  
Length Of Stay ◽  
Time Series Analysis ◽  
Pulmonary Disease ◽  
Hospital Admissions ◽  
Interrupted Time Series ◽  
Chronic Obstructive ◽  
Interrupted Time Series Analysis ◽  
Obstructive Pulmonary Disease

Objectives To investigate the effects of an admission avoidance pathway within a new integrated respiratory service on the number of Chronic Obstructive Pulmonary Disease (COPD)-related hospital admissions in England. Methods We used interrupted time series analysis to estimate the effects of the admission avoidance pathway on COPD hospital admissions, length of stay, and 30-day readmissions. We included all unplanned admissions with COPD as primary diagnosis using Hospital Episode Statistics, comparing the intervention region with a demographically similar control region in the two years before and one year after the implementation of the new service. Results Unplanned hospital admissions for COPD exacerbations followed a clear seasonal pattern, peaking in early winter. We found no evidence that the admission avoidance pathway influenced the rate of hospital admissions or 30-day readmissions. We found weak evidence of a trend change in length of stay following the launch of the admission avoidance pathway. Conclusions Our study adds to the growing body of evidence that suggests that additional admission avoidance capacity alone does not lead to a measurable reduction in admissions or length of stay. Further investigation is required to understand the reasons why. A longer follow-up may be required to see some of the potential benefits.

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