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To the Editor The Viewpoint by Dr Butler and colleagues1 seems to misinterpret our recent work2 by suggesting that none of the 10 widely promoted strategies for reducing readmission for patients with heart failure was effective.
Our study2 evaluated the relationship between risk-standardized readmission rates and hospital strategies to improve transitions in care. A total of 599 hospitals (91% response rate) enrolled in the Hospital-to-Home quality campaign sponsored by the American College of Cardiology completed the survey. We found several individual strategies that were associated with significantly lower risk-standardized 30-day readmission rates in multivariable analysis.
Bradley EH, Curry LA, Krumholz HM. Strategies to Reduce Heart Failure Readmissions. JAMA. 2014;311(11):1160. doi:10.1001/jama.2014.678