Evidence map›Paper›PMID 28395059›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2017

Hospitalization event notifications and reductions in readmissions of Medicare fee-for-service beneficiaries in the Bronx, New York.

Mark Aaron Unruh, Hye-Young Jung, Rainu Kaushal, Joshua R Vest

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. The benefits of health information exchange: an updated systematic review.Journal of the American Medical Informatics Association : JAMIA · 2018
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. An HIT-Supported Care Coordination Framework for Reducing Structural Racism and Discrimination for Patients With ADRD.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Mark Aaron UnruhDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, 10065, USA.
Hye-Young JungDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, 10065, USA.
Rainu KaushalDepartment of Healthcare Policy and Research, Department of Medicine, Department of Pediatrics, Weill Cornell Medical College, New York, NY, 10065, USA.
Joshua R VestDepartment of Healthcare Policy & Management, Indiana University Richard M. Fairbanks School of Public Health - Indianapolis, Affiliated Scientist, Regenstrief Institute, Inc., Indianapolis, IN, USA.
Cornell University · USIndiana University – Purdue University Indianapolis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFollow-up with a primary care provider after hospital discharge has been associated with a reduced likelihood of readmission. However, primary care providers are frequently unaware of their patients' hospitalizations. Event notification may be an effective tool for reducing readmissions by notifying primary care providers when their patients have been admitted to and discharged from a hospital. MATERIALS AND

methodsWe examined the effect of an event notification system on 30-day readmissions in the Bronx, New York. The Bronx has among the highest readmission rates in the country and is a particularly challenging setting to improve care due to the low socioeconomic status of the county and high rates of poor health behaviors among its residents. The study cohort included 2559 Medicare fee-for-service beneficiaries associated with 14 141 hospital admissions over the period January 2010 through June 2014. Linear regression models with beneficiary-level fixed-effects were used to estimate the impact of event notifications on readmissions by comparing the likelihood of rehospitalization for a beneficiary before and after event notifications were active.

resultsThe unadjusted 30-day readmission rate when event notifications were not active was 29.5% compared to 26.5% when alerts were active. Regression estimates indicated that active hospitalization alert services were associated with a 2.9 percentage point reduction in the likelihood of readmission (95% confidence interval: -5.5, -0.4).

conclusionsAlerting providers through event notifications may be an effective tool for improving the quality and efficiency of care among high-risk populations.

Indexed as

AftercareHealth Information ExchangeMedicarePatient ReadmissionFee-for-Service PlansHospitalizationHumansNew York CityUnited Stateshealth information exchangeMedicarereadmissions

Identifiers

PMID28395059
PMCPMC7651949
OpenAlexW2529178420

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.