The Social Work Role in Reducing 30-Day Readmissions: The Effectiveness of the Bridge Model of Transitional Care

Journal of Gerontological Social Work

Volumn 59, Issue 3, 2016, Pages 222-227

  Alvarez, Renae ^a   Ginsburg, Jacob ^a   Grabowski, Jessica ^b   Post, Sharon ^a   Rosenberg, Walter ^c  

^a Health Medicine Policy Research Group   (United States)

^b Aging Care Connections   (United States)

^c RUSH UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Chronic illness; curriculum and training; health policy; long term care; social services

Indexed keywords

ADULT; CASE MANAGEMENT; CLINICAL STUDY; COORDINATION; CURRICULUM; HEALTH CARE POLICY; HOSPITAL READMISSION; HUMAN; LONG TERM CARE; MANAGED CARE; POPULATION MODEL; SOCIAL WORK; TRANSITIONAL CARE; MEDICARE; PATIENT CARE; PROCEDURES; STANDARDS; TRENDS; UNITED STATES;

CONTINUITY OF PATIENT CARE; HEALTH CARE REFORM; HUMANS; MEDICARE; PATIENT READMISSION; SOCIAL WORK; TRANSITIONAL CARE; UNITED STATES;

EID: 84981276962     PISSN: 01634372     EISSN: 15404048     Source Type: Journal    
DOI: 10.1080/01634372.2016.1195781     Document Type: Article

References (11)

1. S.J.Altfeld, G.E.Shier, M.Rooney, T.J.Johnson, R.L.Golden, K.Karavolos, … A.J.Perry, (2013). Effects of an enhanced discharge planning intervention for hospitalized older adults:A randomized trial. Gerontologist, 53(3), 430–440. doi:10.1093/geront/gns109
2. A.I.Arbaje, D.D.Maron, Q.Yu, V.I.Wendel, E.Tanner, C.Boult, … S.C.Durso, (2010). The geriatric floating interdisciplinary transition team. Journal of the American Geriatrics Society, 58(2), 364–370. doi:10.1111/j.1532-5415.2009.02682.x
3. thed.). Washington, DC:NASW Press.
4. D.M.Berwick, T.W.Nolan, & J.Whittington, (2008). The triple aim:Care, health, and cost. Health Affairs, 27(3), 759–769. doi:10.1377/hlthaff.27.3.759
5. L.Calvillo–King, D.Arnold, K.J.Eubank, M.Lo, P.Yunyongying, H.Stieglitz, & E.A.Halm, (2013). Impact of social factors on risk of readmission or mortality in pneumonia and heart failure:Systematic review. Journal of General Internal Medicine, 28(2), 269–282. doi:10.1007/s11606-012-2235-x
6. E.A.Coleman, C.Parry, S.Chalmers, & S.J.Min, (2006). The care transitions intervention:Results of a randomized controlled trial. Archives of Internal Medicine, 166(17), 1822–1828. doi:10.1001/archinte.166.17.1822
7. L.O.Hansen, J.L.Greenwald, T.Budnitz, E.Howell, L.Halasyamani, G.Maynard, … M.V.Williams, (2013). Project BOOST:Effectiveness of a multihospital effort to reduce rehospitalization. Journal of Hospital Medicine, 8(8), 421–427. doi:10.1002/jhm.2054
8. J.Hu, M.D.Gonsahn, & D.R.Nerenz, (2014). Socioeconomic status and readmissions:Evidence from an urban teaching hospital. Health Affairs, 33(5), 778–785. doi:10.1377/hlthaff.2013.0816
9. B.W.Jack, V.K.Chetty, D.Anthony, J.L.Greenwald, G.M.Sanchez, A.E.Johnson, … L.Culpepper, (2009). A reengineered hospital discharge program to decrease rehospitalization:A randomized trial. Annals of Internal Medicine, 150(3), 178–187. doi:10.7326/0003-4819-150-3-200902030-00007
10. R.P.Kocher, & E.Y.Adashi, (2011). Hospital readmissions and the affordable care act:Paying for coordinated quality care. The Journal of the American Medical Association, 306(16), 1794–1795. doi:10.1001/jama.2011.1561
11. M.D.Naylor, D.A.Brooten, R.L.Campbell, G.Maislin, K.M.McCauley, & J.S.Schwartz, (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