In this large database analysis of over 30,000 elderly CHF patients from over 200 hospitals, researchers analyzed the association of early follow-up after discharge (within 7 days) and all-cause readmission rates. Patients discharged from hospitals in the 3 highest median quartiles of early follow-up had significantly lower 30-day readmission rates compared to the lowest median quartile hospitals. Hospitals with more early follow-up may reflect better “systems” for a number of reasons (more PCP availability, better discharge planning, etc), but regardless, those able to facilitate early follow-up were more likely to keep their CHF patients at home within the 30 days after discharge (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.