A Primary Care Physician-Staffed Transition Clinic and Hospital Readmissions
MethodsThe sample included adults with Medicare and Medicaid coverage discharged from general medicine units at Rush University Medical Center between October 2013 and October 2014 with a post-discharge appointment scheduled within 30 days of discharge in either the TC or with their PCP. A binary logistic regression model was used to test the relationship between 30-day readmission and follow-up appointment status, controlling for patient factors.
Results: This sample included 1,162 patients (24% in the TC and 76% with their PCP). After controlling for patient demographic characteristics and clinical factors, patients who did not complete a scheduled TC appointment were 3 times more likely to be readmitted than patients who completed a TC appointment (20.3% vs. 8.7%; p = 0.004). There was no significant difference in 30-day readmissions between patients completing a TC appointment and those who were scheduled with their PCP.
Conclusion: A primary care-staffed TC is a promising strategy for providing access and effectively managing the initial post-hospital discharge needs of vulnerable populations.
Learning Areas:Administer health education strategies, interventions and programs
Administration, management, leadership
Implementation of health education strategies, interventions and programs
Assess the effect of a PCP-run post-discharge clinic on hospital readmissions.
Keyword(s): Vulnerable Populations, Accessibility
Qualified on the content I am responsible for because: I am completing my masterâs degree in Health Systems Management and have spent the past two years researching and operationalizing care coordination models for post-discharge care.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.