Effectiveness of Transitional Care Program among High-Risk Discharged Patients
A Quasi-Experimental Study on Saving Costs, Post-Discharge Readmissions and Emergency Department Visits
Bibliographic Data
| ID | 15506758 |
|---|---|
| Authors | Moonseong Heo (0000-0001-7711-1209, Clemson University), Kevin Taaffe (0000-0001-7287-4565, Clemson University, corresponding author), Ankita Ghadshi (Clemson University), L Teague (Prisma Health, corresponding author), Leigh D Teague (Prisma Health), Jeffrey Watts (Prisma Health), Snehal S Lopes (0000-0002-7831-1058, Clemson University), Peter L Tilkemeier (Prisma Health), Peter Tilkemeier (Prisma Health), Alain H Litwin (0000-0002-6717-0288, Prisma Health) |
| Year | 2023 |
| Volume | 20 |
| Issue | 23 |
| Pages | 7136-7136 |
| Publication date | 2023-12-02 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20237136 |
| PMID | 38063566 |
| OpenAlex | W4389264383 |
| Language | EN |
| References cited | 31 |
Transitional care programs (TCPs), where hospital care team members repeatedly follow up with discharged patients, aim to reduce post-discharge hospital or emergency department (ED) utilization and healthcare costs. We examined the effectiveness of TCPs at reducing healthcare costs, hospital readmissions, and ED visits. Centers for Medicare and Medicaid Services Bundled Payments for Care Improvement (BPCI) program adjudicated claims files and electronic health records from Greenville Memorial Hospital, Greenville, SC, were accessed. Data on post-discharge 30- and 90-day ED visits and readmissions, total costs, and episodes with costs over BPCI target prices were extracted from November 2017 to July 2020 and compared between the "TCP-Graduates" (N = 85) and "Did Not Graduate" (DNG) (N = 1310) groups. As compared to the DNG group, the TCP-Graduates group had significantly fewer 30-day (7.1% vs. 14.9%, p = 0.046) and 90-day (15.5% vs. 26.3%, p = 0.025) readmissions, episodes with total costs over target prices (25.9% vs. 36.6%, p = 0.031), and lower total cost/episode (USD 22,439 vs. USD 28,633, p = 0.018), but differences in 30-day (9.4% vs. 11.2%, p = 0.607) and 90-day (20.0% vs. 21.9%, p = 0.680) ED visits were not significant. TCP was associated with reduced post-discharge hospital readmissions, total care costs, and episodes exceeding target prices. Further studies with rigorous designs and individual-level data should test these findings
Business · Emergency department · Health care · Medicaid · Medical emergency · Payment · Transitional care · Emergency and Acute Care Studies · Geriatric Care and Nursing Homes · Healthcare Policy and Management · Medicine · Nursing · Emergency Medicine · Finance
| Highly cited | No |
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