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Chronic Obstructive Pulmonary Disease Outcomes at Veterans Affairs Versus Non-Veterans Affairs Hospitals

Authors: LaBedz, Stephanie L.; Krishnan, Jerry A.; Chung, Yu-Che; Lindenauer, Peter K.; Spece, Laura J.; Feemster, Laura C.; Stein, Ellen M.; +3 Authors

Chronic Obstructive Pulmonary Disease Outcomes at Veterans Affairs Versus Non-Veterans Affairs Hospitals

Abstract

Plain language summary: The U.S. Centers for Medicare and Medicaid Services (CMS) and the Veterans Health Administration have both implemented policies intended to reduce readmissions in patients with COPD, but little is known about the relative performance of VA and non-VA hospitals on COPD readmissions and mortality in the ensuing years. Clinical trials of various interventions designed to reduce hospital readmissions in patients with COPD have demonstrated the potential to reduce readmissions but also to increase the risk of death. This study compared readmission and death rates at VA and non-VA hospitals using publicly available data from CMS Hospital Compare. We also measured the association between hospital-level readmission and death rates at VA and non-VA hospitals and across various hospital characteristics. From 2015 to 2018, VA hospitals had lower COPD readmission and death rates compared to non-VA hospitals. Readmission and death rates were not associated at VA hospitals. Among non-VA hospitals, higher readmission rates were associated with lower death rates. The inverse association between readmission and death rates at non-VA hospitals calls for re-examination of readmissions policies.

Country
United States
Keywords

Healthcare Quality, Pulmonology, readmission, Epidemiology, Respiratory Tract Diseases, Medicine and Health Sciences, Medicine, copd, veterans, mortality, Military and Veterans Studies

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Top 10%
Average
Average
gold