Utilization, financial outcomes and stakeholder perspectives of a re-organized adult sickle cell program.

ABSTRACT: In 2011 Yale New Haven Hospital, in response to high utilization of acute care services and widespread patient and health care personnel dissatisfaction, set out to improve its care of adults living with sickle cell disease. Re-organization components included recruitment of additional personnel; re-locating inpatients to a single nursing unit; reducing the number of involved providers; personalized care plans for pain management; setting limits upon access to parenteral opioids; and an emphasis upon clinic visits focused upon home management of pain as well as specialty and primary care. Outcomes included dramatic reductions in inpatient days (79%), emergency department visits (63%), and hospitalizations (53%); an increase in outpatient visits (31%); and a decrease in costs (49%). Provide

SUBMITTER: Rousseau R 

PROVIDER: S-EPMC7380627 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature