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Impact of Acgme Duty Hour Rules on Prolonged Length of Stay Among Medicare 4.7

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Leonard Davis Institute of Health Economics
Leonard Davis Institute of Health Economics

Author: Kevin Volpp

Health & Medicine
1 of 1
Impact of ACGME duty hour rules on prolonged length of stay among Medicare and VA patients K.G. Volpp 12,3,4 ; P. Rosenbaum 3 ; A. Rosen 5 ; P.S. Romano 6 ; K.M. Itani 7 ; L. Cen 2 ; L Mil 8 ; O. Shoshan 8 ; M. Halenar 2,8 ; J.H. Silber 2,3,4,8 . 1 CHERP, Philadelphia VAMC; 2 University of Pennsylvania School of Medicine; 3 The Wharton School, Philadelphia, PA; 4 Leonard Davis Institute of Health Economics, Philadelphia, PA. 5 Bedford VA and Boston University, Boston, MA; 6 University of California, Davis Sacramento, CA; 7 Boston VA 8 COR, The Children's Hospital of Philadelphia, Philadelphia, PA ,[object Object],[object Object],[object Object],Conclusions ,[object Object],[object Object],Policy Implications Table 1. Change in the odds of PLOS in more vs. less teaching intensive hospitals Figure 1. Unadjusted trends in PLOS by teaching intensity Funding for this work was provided by grants from the VA and NHI: VA IIR 04-202-1 and NHBLI R01 HL082637 Figure 1. Illustration of Length of Stay after the Prolongation Point (CHF patients at VA hospitals) Note: The Kaplan-Meier discharge curves for hospitalized patients after the prolongation point (day 3) fall above the group that are in the hospital at the prolongation point, with successively lower hazards for discharge. This represents the clinical situation where, after the prolongation point, “the longer one has stayed, the slower one will be discharged.” ,[object Object],[object Object],[object Object],[object Object],Background ,[object Object],[object Object],[object Object],Objectives ,[object Object],[object Object],[object Object],Methods Results Non-teaching (0) Very Minor/Minor (>0 & <.25) Major ( > 0.25& <0.6) Very Major ( > 0.6)

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