SHM Converge Scientific Abstract ePoster Gallery-Long-Term Hospital Readmission Rates Based on Teaching vs. Non-Teaching Status

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This study examined whether long-term readmission rates for pneumonia, heart failure (HF), and acute myocardial infarction (AMI) differed between teaching and non-teaching U.S. hospitals from 2005–08 through 2017–19. Using CMS Hospital Compare data, hospitals were classified as non-teaching, teaching non-COTH, or teaching COTH (Council of Teaching Hospital and Health Systems). Trends were analyzed with mixed linear models adjusted for hospital and community characteristics.<br /><br />At baseline, COTH teaching hospitals had slightly higher readmission rates than non-teaching hospitals for pneumonia and AMI, while HF rates were similar. Non-COTH teaching hospitals were generally similar to non-teaching hospitals, though they had lower HF readmissions in some adjusted analyses.<br /><br />Over time, readmission rates declined across all hospital types for pneumonia, HF, and AMI. However, the decline was larger in COTH teaching hospitals. By 2017–19, COTH hospitals showed significantly greater reductions compared with non-teaching hospitals for pneumonia and AMI. In contrast, non-COTH teaching hospitals showed a small but significant increase in HF readmissions relative to non-teaching hospitals.<br /><br />Overall, the results suggest that although COTH teaching hospitals started with somewhat higher readmission rates, they experienced the greatest improvement over the study period. This indicates that teaching hospitals, especially major academic centers, may have adapted more effectively to efforts to reduce readmissions.

Asset Subtitle

Madeeha I. Deo

Meta Tag

Author List Cynthia Avila, Madeeha I. Deo, Rehan Qayyum

Category Research

Concept Readmission Rate

Concept Teaching Hospital

Concept Non-Teaching Hospital

Concept Council of Teaching Hospitals and Health Systems

Concept Pneumonia

Distinguished Non-Finalist

Presenter Organization Eastern Virginia Medical School

Presenting Author Madeeha I. Deo

Track Outcomes Research

Keywords

pneumonia readmission

heart failure

acute myocardial infarction

teaching hospitals

non-teaching hospitals

hospital compare data

CMS

readmission trends

Council of Teaching Hospital and Health Systems

mixed linear models

Readmission Rate

Teaching Hospital

Non-Teaching Hospital

Council of Teaching Hospitals and Health Systems

Pneumonia