In this large retrospective observational cohort of CHF medicare patients, from 1993 to 2006, there were substantial decreases in mean LOS (from 8.8 to 6.3 day) and in-hospital mortality (9% to 4%). However, there were substantial increases in the percentage of patients discharged to skilled nursing facilities (13% to 20%) and the percentage of patients readmitted within 30 days (17% to 20%). These increases are likely reflecting CHF patients living longer and living sicker. However, new Medicare incentives to reduce readmission rates may push the pendulum back to longer LOS (abstract).
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 […]