Evaluation of a modified community based care transitions model to reduce costs and improve outcomes

Persistent Link:
http://hdl.handle.net/10150/610029
Title:
Evaluation of a modified community based care transitions model to reduce costs and improve outcomes
Author:
Logue, Melanie; Drago, Jennifer
Affiliation:
University of Arizona, Tucson, Arizona, USA; Sun Health, Sun City, Arizona, USA
Issue Date:
2013
Publisher:
BioMed Central
Citation:
Logue and Drago BMC Geriatrics 2013, 13:94 http://www.biomedcentral.com/1471-2318/13/94
Journal:
BMC Geriatrics
Rights:
© 2013 Logue and Drago; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)
Collection Information:
This item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.
Abstract:
BACKGROUND:The Affordable Care Act of 2010 proposed maximum penalty equal to 1% of regular Medicare reimbursements which prompted change in how hospitals regard 30-day readmissions. While several hospital to home transitional care models demonstrated a reduction in readmissions and cost savings, programs adapted to population needs and existing resources was essential.METHODS:Focusing on process and outcomes evaluation, a retrospective analysis of a modified community based care transitions program was conducted.RESULTS:In addition to high levels of patient satisfaction with the care transitions program, participants' confidence with self care was significantly improved. Further, the program evaluation demonstrated a 73% reduction in readmissions and an actual Medicare cost savings during the 9-month study period of $214,192, excluding the cost to administer the program.CONCLUSIONS:While there are several transitional care programs in existence, a customized approach is desirable and often required as the most cost effective way to manage care transitions and employ evidence based policy making. This study established some of the pitfalls when implementing a community-based transitional care program and demonstrated encouraging outcomes.
EISSN:
1471-2318
DOI:
10.1186/1471-2318-13-94
Keywords:
Care transitions; Readmissions; Care coordination; Community-based organizations; Medicare
Version:
Final published version
Additional Links:
http://www.biomedcentral.com/1471-2318/13/94

Full metadata record

DC FieldValue Language
dc.contributor.authorLogue, Melanieen
dc.contributor.authorDrago, Jenniferen
dc.date.accessioned2016-05-20T08:56:54Z-
dc.date.available2016-05-20T08:56:54Z-
dc.date.issued2013en
dc.identifier.citationLogue and Drago BMC Geriatrics 2013, 13:94 http://www.biomedcentral.com/1471-2318/13/94en
dc.identifier.doi10.1186/1471-2318-13-94en
dc.identifier.urihttp://hdl.handle.net/10150/610029-
dc.description.abstractBACKGROUND:The Affordable Care Act of 2010 proposed maximum penalty equal to 1% of regular Medicare reimbursements which prompted change in how hospitals regard 30-day readmissions. While several hospital to home transitional care models demonstrated a reduction in readmissions and cost savings, programs adapted to population needs and existing resources was essential.METHODS:Focusing on process and outcomes evaluation, a retrospective analysis of a modified community based care transitions program was conducted.RESULTS:In addition to high levels of patient satisfaction with the care transitions program, participants' confidence with self care was significantly improved. Further, the program evaluation demonstrated a 73% reduction in readmissions and an actual Medicare cost savings during the 9-month study period of $214,192, excluding the cost to administer the program.CONCLUSIONS:While there are several transitional care programs in existence, a customized approach is desirable and often required as the most cost effective way to manage care transitions and employ evidence based policy making. This study established some of the pitfalls when implementing a community-based transitional care program and demonstrated encouraging outcomes.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.biomedcentral.com/1471-2318/13/94en
dc.rights© 2013 Logue and Drago; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)en
dc.subjectCare transitionsen
dc.subjectReadmissionsen
dc.subjectCare coordinationen
dc.subjectCommunity-based organizationsen
dc.subjectMedicareen
dc.titleEvaluation of a modified community based care transitions model to reduce costs and improve outcomesen
dc.typeArticleen
dc.identifier.eissn1471-2318en
dc.contributor.departmentUniversity of Arizona, Tucson, Arizona, USAen
dc.contributor.departmentSun Health, Sun City, Arizona, USAen
dc.identifier.journalBMC Geriatricsen
dc.description.collectioninformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.en
dc.eprint.versionFinal published versionen
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