Impact of an Emergency Department-to-Home Transitional Care Intervention on Health Service Use in Medicare Beneficiaries: A Mixed Methods Study.

ABSTRACT:

Background

Hospital-based acute care [emergency department (ED) visits and hospitalizations] that is preventable with high-quality outpatient care contributes to health care system waste and patient harm.

Objective

To test the hypothesis that an ED-to-home transitional care intervention reduces hospital-based acute care in chronically ill, older ED visitors.

Research design

Convergent, parallel, mixed-methods design including a randomized controlled trial.

Setting

Two diverse Florida EDs.

Subjects

Medicare fee-for-service beneficiaries with chronic illness presenting to the ED.

Intervention

The Coleman Care Transition Intervention adapted for ED visitors.

Measures

The main outcome was hospital-based acute care within 60 days of index ED vis

SUBMITTER: Schumacher JR 

PROVIDER: S-EPMC8689563 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature