Care coordination for veterans with COPD: a positive deviance study.

ABSTRACT:

Objectives

Improving chronic obstructive pulmonary disease (COPD) care and reducing hospital readmissions is an urgent healthcare system priority. However, little is known about the organizational factors that underlie intersite variation in readmission rates. Evidence from other chronic diseases points to care coordination as one such factor.

Study design

To understand whether intersite differences in care coordination may be one of the organizational factors contributing to the variation in readmission rates, we examined provider perspectives on COPD care at Veterans Affairs (VA) sites.

Methods

In this mixed-methods positive deviance study, we selected 3 VA sites in the lowest quartile and 3 in the highest quartile for 2016 risk-adjusted COPD readmission rates. Duri

SUBMITTER: Anderson E 

PROVIDER: S-EPMC7853407 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature