Improving care transitions: Hospitalists partnering with primary care

Journal of Hospital Medicine

Volumn 5, Issue 7, 2010, Pages 375-377

  Balaban, Richard B ^a,b   Williams, Mark V ^c  

^a Cambridge Health Alliance ^*  (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c NORTHWESTERN UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DEPRESSION; EDITORIAL; FOLLOW UP; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HOME CARE; HOSPITAL COST; HOSPITAL DISCHARGE; HOSPITAL MANAGEMENT; HOSPITAL READMISSION; HUMAN; INTERPERSONAL COMMUNICATION; OUTPATIENT CARE; PATIENT CARE; PATIENT EDUCATION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL;

CONTINUITY OF PATIENT CARE; HOSPITALISTS; HUMANS; LENGTH OF STAY; PATIENT DISCHARGE; PATIENT READMISSION; PHYSICIANS, PRIMARY CARE; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; RISK FACTORS; UNITED STATES;

EID: 77956621025     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.824     Document Type: Editorial

References (16)

1. Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-187.
2. Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006; 166(17):1822-1828. (Pubitemid 44455163)
3. Balaban RB, Weissman JS, Samuel PA, Woolhandler S. Redefining and redesigning hospital discharge to enhance patient care: a randomized controlled study. J Gen Intern Med. 2008;23(8):1228-1233.
4. Koehler BE, Richter KM, Youngblood L, et al. Reduction of 30-day postdischarge hospital readmission or emergency department (ED) visit rates in high-risk elderly medical patients through delivery of a targeted care bundle. J Hosp Med. 2009;4(4):211-218.
5. Snow V, Beck D, Budnitz T, et al. Transitions of Care Consensus policy statement: American College of Physicians, Society of General Internal Medicine, Society of Hospital Medicine, American Geriatrics Society, American College Of Emergency Physicians, and Society for Academic Emergency Medicine. J Hosp Med. 2009;4(6):364-370.
6. van Walraven et al. Independent association of provider and information continuity on outcomes after hospital discharge: implications for hospitalists. J Hosp Med. 2010;5(7):398-405.
7. Misky et al. Post-hospitalization transitions: examining the effects of timing of primary care follow-up. J Hosp Med. 2010;5(7):392-397.
8. Arora et al. Problems after discharge and understanding of communication with their PCPs among hospitalized seniors: a mixed methods study. J Hosp Med. 2010;5(7):385-391.
9. Mitchell et al. Post-discharge hospital utilization among adult medical inpatients with depressive symptoms. J Hosp Med. 2010;5(7):378-384.
10. Kartha A, Anthony D, Manasseh CS, et al. Depression Is a risk factor for rehospitalization in medical inpatients. Prim Care Companion J Clin Psychiatry. 2007;9(4):256-262. (Pubitemid 47219581)
11. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2 2009;360(14): 1418-1428.
12. Dorr DA, Wilcox AB, Brunker CP, Burdon RE, Donnelly SM. The effect of technology-supported, multidisease care management on the mortality and hospitalization of seniors. J Am Geriatr Soc. 2008;56(12): 2195-2202.
13. Leff B, Reider L, Frick KD, et al. Guided care and the cost of complex healthcare: a preliminary report. Am J Manag Care. 2009;15(8):555-559.
14. Counsell SR, Callahan CM, Clark DO, et al. Geriatric care management for low-income seniors: a randomized controlled trial. JAMA. 2007; 298(22):2623-2633. (Pubitemid 350254954)
15. Kessels RP. Patients' memory for medical information. J R Soc Med. 2003; 96(5):219-222.
16. Wachter RM. Understanding the new vocabulary of healthcare reform. J Hosp Med. 2010;5(4):197-199.