Search results for "Transitions of Care"
Social drivers of health associated with care, behaviors after stroke hospitalization
One-third of stroke patients didn't achieve an adequate transition of care (based on adherence to medication, follow-up visits, exercise recommendations, diet modification, and cessation of smoking or drug use), according to a study in Florida.
https://acphospitalist.acponline.org/archives/2023/01/04/social-drivers-of-health-associated-with-care-behaviors-after-stroke-hospitalization.htm
4 Jan 2023
Postdischarge intervention did not improve outcomes when added to information exchange
Veterans who were treated at a hospital or ED outside the Veterans Affairs (VA) system had similar readmission risk regardless of whether they received a care transitions intervention in addition to their usual primary care clinicians being notified of the non-VA encounter.
https://acphospitalist.acponline.org/archives/2022/03/02/postdischarge-intervention-did-not-improve-outcomes-when-added.htm
2 Mar 2022
New antipsychotic prescriptions in hospitalized heart failure patients often continued after discharge to SNF
A retrospective cohort study of mostly male veterans found that 10.8% received a new antipsychotic prescription during index hospitalization for heart failure, 21.5% of which were continued after discharge to a skilled nursing facility (SNF).
https://acphospitalist.acponline.org/archives/2022/01/12/new-antipsychotic-prescriptions-in-hospitalized-heart-failure-patients-often-continued.htm
12 Jan 2022
The impact of deferred hospital care during COVID-19
Experts are looking at where the patients went and what happens next.
https://acphospitalist.acponline.org/archives/2021/02/the-impact-of-deferred-hospital-care-during-covid-19.htm
15 Feb 2021
Discharge lounges done right
Studies show how to make these waiting spaces useful, even in a pandemic.
https://acphospitalist.acponline.org/archives/2021/02/discharge-lounges-done-right.htm
15 Feb 2021
Home telemonitoring may reduce readmissions in high-risk patients
A randomized trial at two tertiary care hospitals found that risk for death or readmission within 30 days was 18.2% in patients who received home telemonitoring after discharge versus 23.7% in those who received standard care.
https://acphospitalist.acponline.org/weekly/archives/2021/02/03/3.htm
3 Feb 2021
Hospitalists, primary care clinicians favor EMR communication at discharge over other methods
In a survey of clinicians at a safety-net hospital system, direct messages sent via a shared electronic medical record (EMR) were preferred to phone, email, fax, and text messaging.
https://acphospitalist.acponline.org/weekly/archives/2020/04/15/5.htm
15 Apr 2020
Staff, vets describe transitions from non-VA hospitals to VA primary care as inefficient
A qualitative study of hospital clinicians and veterans found gaps in four major processes, including transferring records and obtaining medications prescribed by non-Veterans Administration (VA) clinicians from VA pharmacies.
https://acphospitalist.acponline.org/weekly/archives/2019/10/30/4.htm
30 Oct 2019
Hospitalist care associated with slightly higher costs, readmissions among patients discharged to SNFs
Patients treated by hospitalists did show a trend toward lower 30-day mortality than those treated by nonhospitalists, according to a retrospective analysis of fee-for-service Medicare beneficiaries discharged to skilled nursing facilities (SNFs).
https://acphospitalist.acponline.org/weekly/archives/2019/10/30/3.htm
30 Oct 2019
Scheduling assistance program for primary care appointments improved postdischarge follow-up
Attending and resident physicians entered a discharge appointment request with an outpatient physician for a specified time period, and staff at the scheduling assistance program called the practice to make the appointment.
https://acphospitalist.acponline.org/weekly/archives/2019/09/25/4.htm
25 Sep 2019
Electronic medication reconciliation not associated with better postdischarge outcomes
A recent cluster randomized trial looked at whether an electronic system that retrieved insurer information on outpatient medications affected adverse drug events, readmissions, or mortality in the 30 days after discharge.
https://acphospitalist.acponline.org/weekly/archives/2019/09/25/3.htm
25 Sep 2019
Transition and self-management program help reduce COPD readmissions
A nurse-delivered three-month postdischarge program for patients with chronic obstructive pulmonary disease (COPD) included transition support, training in self-management techniques, and help with access to outpatient services.
https://acphospitalist.acponline.org/weekly/archives/2018/11/21/4.htm
21 Nov 2018
Care coordination bundle reduced total cost of care for Medicare and Medicaid patients
The intervention was also associated with decreases in the ED visit rate among Medicaid patients and a reduction in practitioner follow-up visits for both patient groups.
https://acphospitalist.acponline.org/weekly/archives/2018/11/07/3.htm
7 Nov 2018
Transitional care management yields benefit but is used rarely, study finds
An analysis of Medicare fee-for-service claims concluded that transitional care management is a promising delivery model innovation, while an editorial cautioned that payments may not be high enough to justify the extra work involved or may be targeted to the wrong place in the health care system.
https://acphospitalist.acponline.org/weekly/archives/2018/08/08/4.htm
8 Aug 2018
Survey finds low rates of communication between inpatient, primary care teams
Primary care physicians differed in their preferred mode of communication about patients' hospitalizations, with some preferring telephone contact, others preferring electronic health record notifications, and some wanting faxes.
https://acphospitalist.acponline.org/weekly/archives/2017/11/15/4.htm
15 Nov 2017
Caring for prisoners
Coordination is key to ensuring smooth transitions and improving outcomes for patients coming to the hospital from prison or jail.
https://acphospitalist.acponline.org/archives/2017/10/caring-for-prisoners.htm
15 Oct 2017
Low health literacy linked to longer LOS, more transitional care needs
The link between health literacy and length of stay (LOS) was significantly impacted by gender but not by illness severity or older age.
https://acphospitalist.acponline.org/weekly/archives/2017/09/27/3.htm
27 Sep 2017
‘Smartphone sign’ may help determine same-day discharge suitability in surgical patients, study suggests
Eligible patients were admitted to an acute surgical unit but did not require immediate surgical intervention or immediate admission to the ICU.
https://acphospitalist.acponline.org/weekly/archives/2017/08/30/3.htm
30 Aug 2017
CMS-funded intervention reduces Medicare readmissions by nearly 10%, study finds
The intervention entailed transitional care consultants, who were social workers, following up with high-risk patients after discharge, providing medication management, support services, and clarification of discharge instructions.
https://acphospitalist.acponline.org/weekly/archives/2016/04/20/3.htm
20 Apr 2016
Follow-up within 6 weeks of discharge for acute MI linked to greater medication adherence
Compared with patients with earlier follow-up, those with longer times between discharge and their first appointment were more likely to be men, to be black, and to live in communities with lower socioeconomic status.
https://acphospitalist.acponline.org/weekly/archives/2016/03/30/3.htm
30 Mar 2016