Change in Hospital Risk-Adjusted Readmission Rates and Risk-Adjusted Mortality Rates in Heart Failure Patients Within 30 Days After Hospital Discharge With the Hospital Readmission Reduction Program
Linear trends in mean monthly 30-day risk-adjusted readmission rates and 30-day risk-adjusted mortality rates after discharge from hospitalization for heart failure shown for 3 periods: January 2008 through March 2010, April 2010 through September 2012, and October 2012 through December 2014. The vertical dashed lines denote April 1, 2010, to reflect the passage of the Affordable Care Act and implementation of the Hospital Readmissions Reduction Program (HRRP); and October 1, 2012, to reflect the implementation of HRRP penalties, respectively. Risk adjustment included patient age, sex, comorbidities, season, and hospital length of stay.
Adapted with permission from Dharmarajan et al. (19).