Spreading Effective Hospital Strategies for Reducing 30-Day Mortality for Heart Attack, Phase 1


Building on work conducted under an earlier Commonwealth Fund grant, Yale researchers will evaluate the process of change at hospitals participating in a national quality alliance sponsored by the American College of Cardiology to improve 30-day risk-adjusted mortality rates for hospitalized heart attack patients. The project team will survey hospitals that join the alliance about factors that are likely to be associated with significant improvements in the adoption of recommended best practices and the prevention of heart attack deaths. If this work proceeds satisfactorily, support for a second phase will be requested to repeat the survey after 18 months, link the findings to Medicare data to ascertain which hospital characteristics have the greatest impact on mortality, and conduct interviews with hospital leaders and frontline staff for a richer understanding of the process of organizational change at high-performing hospitals.

Grant Details

Grantee Organization:
Yale University
Principal Investigator:
Elizabeth H. Bradley, Ph.D.
Award Amount:
Approval Date:
November 15, 2011

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