Evaluating the financial impact of a heart failure transitional care program

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    Author: Nye, Bonnie
    Thesis advisor: Larson, Meg
    Committee member: Pora, Deborah
    Committee member: Mathier, Michael
    Degree granting institution: Edinboro University of Pennsylvania
    Degree granting institution: Clarion University of Pennsylvania
    Date Created
    2020
    Abstract
    Heart failure (HF) readmissions are incredibly burdensome to hospitals across the country. In 2020, approximately $563 million in penalties from the Center for Medicaid and Medicare Services (CMS) were assigned based on higher than average admission rates (Allen, 2019) with a significant portion related to HF. Our facility has consistently had readmission rates higher than the CMS national benchmark. This is both detrimental to our patients and the cause of assessed yearly CMS reimbursement penalties, which significantly impacts payment for care delivered. There has historically been a very incomplete and disjointed care transition post-discharge for our HF population.
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    Nye, B. Evaluating the financial impact of a heart failure transitional care program. [Dissertation]. Edinboro and Clarion Universities of Pennsylvania, 2020.
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