Abstract 10513: Early Follow-Up After Heart Failure Hospitalizations Remains Low and Variable Across Hospitals: Insights from the Michigan

• Published in: Circulation (New York, N.Y.) N.Y.), 2021-11, Vol.144 (Suppl_1), p.A10513-A10513
• Main Authors: Thompson, Mike P, Abshire, Chelsea, Cascino, Thomas, Syrjamaki, John, Nathan, Hari
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/circ.144.suppl_1.10513

IntroductionEarly outpatient follow-up may improve outcomes for hospitalized heart failure patients, and is being considered as an ACC/AHA heart failure performance measure. HypothesisWe evaluated patterns and determinants of early outpatient follow-up after heart failure hospitalization across Michigan hospitals. MethodsThe sample used in this analysis included all patients hospitalized with a primary diagnosis of heart failure between January 1, 2017 and December 31, 2019 in the Michigan Value Collaborative statewide multipayer claims data registry. Early follow-up was defined as an outpatient evaluation and management visit within 7 days of discharge. Multilevel mixed-effects models were used to evaluate risk-adjusted early follow-up rates after heart failure hospitalization, adjusting for patient and discharging hospital factors. ResultsA total of 17,203 of 39,505 (43.6%) patients hospitalized for heart failure had an early follow-up visit after discharge, which increased from 41.3% in 2017 to 43.0% in 2018 and 46.1% in 2019 (p