{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T12:43:23Z","timestamp":1789130603209,"version":"build-2803163510"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Quality and Outcomes"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:p>Hospital readmissions are common and costly and, in some cases, may be related to problems with care processes. We sought to reduce readmissions after percutaneous coronary intervention (PCI) in a large tertiary care facility through programs to target vulnerabilities predischarge, after discharge, and during re-presentation to the emergency department. During initial hospitalization, we assessed patients\u2019 readmission risk with a validated risk score and used a discharge checklist to ensure access to appropriate medications and close follow-up for high-risk patients. We also developed patient education videos about chest discomfort and heart failure. After discharge, we established a new follow-up clinic with cardiology fellows. A computerized system was developed to automatically notify cardiologists when patients presented to the emergency department within 30 days of PCI to enhance patient access to cardiology care in the emergency department. Early cardiologist assessment and assistance with triage was encouraged, and the emergency department used a risk stratification algorithm derived from a local database of patients to triage patients presenting with chest discomfort after PCI. We tracked the number of patients readmitted after PCI to our hospital. With our interventions, from 2011 to 2015, the index hospital readmission rate has declined from 9.6% to 5.3%. This program could provide tangible structural changes that can be implemented in other healthcare centers, both reducing the cost of care and improving the quality of care for patients with PCI.<\/jats:p>","DOI":"10.1161\/circoutcomes.116.003086","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T03:09:32Z","timestamp":1472008172000},"page":"600-604","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":47,"title":["Clinical Interventions to Reduce Preventable Hospital Readmission After Percutaneous Coronary Intervention"],"prefix":"10.1161","volume":"9","author":[{"given":"Varsha K.","family":"Tanguturi","sequence":"first","affiliation":[{"name":"From the Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (V.K.T.); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (E.T.); Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.W.Y.); Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (R.W.T., A.M.); and Massachusetts..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Temin","sequence":"additional","affiliation":[{"name":"From the Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (V.K.T.); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (E.T.); Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.W.Y.); Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (R.W.T., A.M.); and Massachusetts..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert W.","family":"Yeh","sequence":"additional","affiliation":[{"name":"From the Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (V.K.T.); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (E.T.); Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.W.Y.); Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (R.W.T., A.M.); and Massachusetts..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan W.","family":"Thompson","sequence":"additional","affiliation":[{"name":"From the Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (V.K.T.); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (E.T.); Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.W.Y.); Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (R.W.T., A.M.); and Massachusetts..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya K.","family":"Rao","sequence":"additional","affiliation":[{"name":"From the Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (V.K.T.); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (E.T.); Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.W.Y.); Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (R.W.T., A.M.); and Massachusetts..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditi","family":"Mallick","sequence":"additional","affiliation":[{"name":"From the Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (V.K.T.); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (E.T.); Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.W.Y.); Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (R.W.T., A.M.); and Massachusetts..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Cavallo","sequence":"additional","affiliation":[{"name":"From the Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (V.K.T.); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (E.T.); Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.W.Y.); Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (R.W.T., A.M.); and Massachusetts..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy G.","family":"Ferris","sequence":"additional","affiliation":[{"name":"From the Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (V.K.T.); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (E.T.); Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.W.Y.); Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (R.W.T., A.M.); and Massachusetts..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason H.","family":"Wasfy","sequence":"additional","affiliation":[{"name":"From the Cardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (V.K.T.); Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (E.T.); Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.W.Y.); Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA (R.W.T., A.M.); and Massachusetts..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","volume-title":"Promoting Greater Efficiency in Medicare","author":"2007 MPAC","unstructured":"2007 MPAC. 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