Coleman EA, Min SJ, Chomiak A, et al. Post-Hospital Care Transitions: Patterns, Complications, and Risk Identification. Health Serv Res. 2004;39(5):1423-1440. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361078/ . Accessed August 7, 2014. Principle Findings: 46 distinct types of care patterns were observed during the 30 days following hospital discharge. Among these patterns, 444 episodes (61.2 percent) were limited to a single transfer, 130 episodes (17.9 percent) included two transfers, 62 episodes (8.5 percent) involved three transfers, and 31 episodes (4.3 percent) involved four or more transfers. 59 episodes (8.1 percent) resulted in death. Between 13.4 percent and 25.0 percent of post-hospital care patterns in the 1998 sample were classified as complicated. The area under the receiver operating curve was 0.771 for a predictive index that utilized administrative data and 0.833 for an index that used a combination of administrative and self-reported data. Conclusions: Post-hospital care transitions are common among Medicare beneficiaries and patterns of care vary greatly. A significant number of beneficiaries experienced complicated care transitions – a finding that has important implications for both patient safety and cost containment efforts. Patients at-risk for complicated care patterns can be identified using data available at the time of hospital discharge.

August 6, 2019

Post-Hospital Care Transitions: Patterns, Complications, and Risk Identification

Coleman EA, Min SJ, Chomiak A, et al. Post-Hospital Care Transitions: Patterns, Complications, and Risk Identification. Health Serv Res. 2004;39(5):1423-1440. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361078/ . Accessed August 7, 2014. Principle Findings: 46 distinct types of care patterns were observed during the 30 days following hospital discharge. Among these patterns, 444 episodes (61.2 percent) […]
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Coleman EA, Min SJ, Chomiak A, et al. Post-Hospital Care Transitions: Patterns, Complications, and Risk Identification. Health Serv Res. 2004;39(5):1423-1440. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361078/ . Accessed August 7, 2014. Principle Findings: 46 distinct types of care patterns were observed during the 30 days following hospital discharge. Among these patterns, 444 episodes (61.2 percent) were limited to a single transfer, 130 episodes (17.9 percent) included two transfers, 62 episodes (8.5 percent) involved three transfers, and 31 episodes (4.3 percent) involved four or more transfers. 59 episodes (8.1 percent) resulted in death. Between 13.4 percent and 25.0 percent of post-hospital care patterns in the 1998 sample were classified as complicated. The area under the receiver operating curve was 0.771 for a predictive index that utilized administrative data and 0.833 for an index that used a combination of administrative and self-reported data. Conclusions: Post-hospital care transitions are common among Medicare beneficiaries and patterns of care vary greatly. A significant number of beneficiaries experienced complicated care transitions – a finding that has important implications for both patient safety and cost containment efforts. Patients at-risk for complicated care patterns can be identified using data available at the time of hospital discharge.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361078/

August 6, 2019

GAO Report: Care Coordination Programs Used in Demonstration Show Promise, but Wider Use of Payment Approach May be Limited

United States Government Accountability Office Report. GAO Report: Care Coordination Programs Used in Demonstration Show Promise, but Wider Use of Payment Approach May be Limited.http://www.gao.gov/new.items/d0865.pdf. Published February 2008. Accessed December 11, 2014. All 10 participating physician groups implemented care coordination programs to generate cost savings for patients with certain conditions, […]
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United States Government Accountability Office Report. GAO Report: Care Coordination Programs Used in Demonstration Show Promise, but Wider Use of Payment Approach May be Limited.http://www.gao.gov/new.items/d0865.pdf. Published February 2008. Accessed December 11, 2014. All 10 participating physician groups implemented care coordination programs to generate cost savings for patients with certain conditions, such as congestive heart failure, and initiated processes to better identify and manage diabetes patients in PY1. However, only 2 of the 10 participants earned a bonus payment in PY1 for achieving cost savings and meeting diabetes quality-of-care targets. The remaining 8 participants met most of the quality targets, but did not achieve the required level of cost savings to earn a bonus. Many of the participants’ care coordination programs were not in place for all of PY1
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http://www.gao.gov/new.items/d0865.pdf

August 6, 2019

Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries: 15 Randomized Trials

Peikes D, Chen A, Schore J, Brown R. Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries. JAMA. 2009;301(6). Http://jama.jamanetwork.com/article.aspx?articleid=183370 Accessed 7/9/14. Medicare expenditures of patients with chronic illnesses might be reduced through improvements in care, patient adherence, and communication.
Peikes D, Chen A, Schore J, Brown R. Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries. JAMA. 2009;301(6). Http://jama.jamanetwork.com/article.aspx?articleid=183370 Accessed 7/9/14. Medicare expenditures of patients with chronic illnesses might be reduced through improvements in care, patient adherence, and communication.
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http://jama.jamanetwork.com/article.aspx?articleid=183370