In this large retrospective cohort of over 2.5 million medicare beneficiaries hospitalized for CHF, researchers determined that neither mortality nor readmission rates have significantly changed over the course of 5 years (2001-2005) (abstract). Unadjusted all-cause mortality was about 11% at 1 month, 26% at 6 months, and 37% at 1 year, and readmission rates were about 23% at 1 month, 54% at 6 months, and 67% at 1 year. For medicare patients, it is astounding that within 1 month of heart failure hospitalization, 1 in 10 will die and 1 in 5 will be readmitted, and that despite our best efforts, these trends have not changed in the last 5 years.
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]
By reading the headlines recently, practitioners would not know if they saved or tanked the healthcare system. One day disaster looms, the next we have moderated growth and business can continue as usual (and by business, I mean doing the correct things correctly). A new study, along with some recent data, helps shed some light […]