The Effects of a Multifaceted Intervention to Improve Care Transitions Within an Accountable Care Organization: Results of a Stepped-Wedge Cluster-Randomized Trial.

ABSTRACT:

Background

Transitions from hospital to the ambulatory setting are high risk for patients in terms of adverse events, poor clinical outcomes, and readmission.

Objectives

To develop, implement, and refine a multifaceted care transitions intervention and evaluate its effects on postdischarge adverse events.

Design, setting, and participants

Two-arm, single-blind (blinded outcomes assessor), stepped-wedge, cluster-randomized clinical trial. Participants were 1,679 adult patients who belonged to one of 17 primary care practices and were admitted to a medical or surgical service at either of two participating hospitals within a pioneer accountable care organization (ACO).

Interventions

Multicomponent intervention in the 30 days following hospitalization, including i

SUBMITTER: Schnipper JL 

PROVIDER: S-EPMC7768916 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature