Do collaborative case management models decrease hospital readmission rates among high-risk patients?

Professional Case Management

Volumn 20, Issue 4, 2015, Pages 188-196

  Bisiani, Marisa A ^a   Jurgens, Corinne Y ^b  

^a Mather Hospital Northwell Health   (United States)

^b NONE

Author keywords

After care programs; Case management; Discharge planning; Elderly; Readmissions; Transitional care

Indexed keywords

AGED; CASE MANAGEMENT; COOPERATION; FEMALE; HOSPITAL ADMISSION; HUMAN; MALE; RETROSPECTIVE STUDY; RISK FACTOR;

AGED; CASE MANAGEMENT; COOPERATIVE BEHAVIOR; FEMALE; HUMANS; MALE; PATIENT ADMISSION; RETROSPECTIVE STUDIES; RISK FACTORS;

EID: 84942877798     PISSN: 19328087     EISSN: 19328095     Source Type: Journal    
DOI: 10.1097/NCM.0000000000000098     Document Type: Article

References (14)

1. Askren-Gonzalez, A., & Frate, J. (2012). Case management programs for hospital readmission prevention. Professional Case Management, 17(5), 219-226.
2. Balaban, R. B., Weissman, J. S., Samuel, P. A., & Woolhandler, S. (2008). Redefining and redesigning hospital discharge to enhance patient care: A randomized controlled study. Journal of General Internal Medicine, 23(8), 1228-1233.
3. Coleman, E. A., Smith, J. D., Frank, J. C., Min, S., Parry, C., & Kramer, A. M. (2004). Preparing patients and caregivers to participate in care delivered across settings: The care transitions intervention. Journal of the American Geriatrics Society, 52(11), 1817-1825. doi: 10.1111/j.1532-5415.2004.52504.x
4. Gillespie, U. (2009). A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized controlled trial. Archives of Internal medicine (1960), 169(9), 894-900. doi: 10.1001/archinternmed.2009.71.
5. Harrison, P. L., Hara, P. A., Pope, J. E., Young, M. C., & Rula, E. Y. (2011). The impact of post discharge telephonic follow-up on hospital readmissions. Population Health Management, 14(1), 27-32. doi: 10.1089/pop. 2009.0076
6. Jack, B. W., Chetty, V. K., Anthony, D., Greenwald, J. L., Sanchez, G. M., Johnson, A. E., ⋯ Culpepper, L. (2009). A reengineered hospital discharge program to decrease rehospitalization: A randomized trial. Annals of Internal Medicine, 150(3), 178-187.
7. Kwok, T., Lum, C. M., Chan, H. S., Ma, H. M., Lee, D., & Woo, J. (2004). A randomized, controlled trial of an intensive community nurse-supported discharge program in preventing hospital readmissions of older patients with chronic lung disease. Journal of the American Geriatrics Society, 52(8), 1240-1246. doi: 10.1111/j.1532-5415.2004.52351.x
8. Naylor, M. (1999). Comprehensive discharge planning and home follow-up of hospitalized elders. JAMA: Journal of the American Medical Association, 281(7), 613.
9. Naylor, M. D., Aiken, L. H., Kurtzman, E. T., Olds, D. M., & Hirschman, K. B. (2011). The importance of transitional care in achieving health reform. Health Affairs, 30(4), 746-754. doi: 10.1377/hlthaff.2011.004
10. Naylor, M. D., Brooten, D. A., Campbell, R. L., Maislin, G., McCauley, K. M., & Schwartz, J. S. (2004). Transitional care of older adults hospitalized with heart failure: A randomized, controlled trial. Journal of the American Geriatrics Society, 52(5), 675-684. doi: 10.1111/j.1532-5415.2004.52202.x
11. Naylor, M., & Keating, S. A. (2008). Transitional care. Am J Nurs, 108(9, Suppl.), 58-63.
12. Naylor, M. D., Koren, M., & Krakauer, R. (2009). Translating research into practice: Transitional care for older adults. Journal of Evaluation in Clinical Practice, 15(6), 1164-1170. doi: 10.1111/j.1365-2753.2009.01308.x.
13. Rapp, C. A., & Goscha, R. J. (2004). The principles of effective case management of mental health services. In Davidson, L., Harding, C., & Spaniol, L. (Eds.), Recovery From Severe Mental Illnesses: Research Evidence and Implications for Practice (pp. 24-51). Boston, MA: Center for Psychiatric Rehabilitation.
14. Remington, L. (2009). MedPAC report's-Reforming America's healthcare delivery. Remington Report, 20(3), 4-7.