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July 1, 2015BMJ InnovationsOpen Access

STAAR: improving the reliability of care coordination and reducing hospital readmissions in an academic medical centre

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Key result

A multidisciplinary care coordination intervention reduced all-cause 30-day readmissions from 21% preintervention to 14.5% postintervention (p<0.05).

Why the study?

Does a multidisciplinary care coordination intervention reduce all-cause 30-day readmissions in general medicine patients?

Population

7,586 patients admitted to a high volume general medicine unit, including 2,620 inpatients meeting high risk…

Comparison

Improved care coordination including a Discharge… vs Pre-intervention standard care.

Design

Cohort

Follow-up

30-day

Authors

JCJocelyn Alexandria CarterMassachusetts General HospitalLCLaura CarrMassachusetts General HospitalJCJacqueline CollinsMetro South Health

Discussion

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Overview

May support care coordination in general medicine; leaves open confirmation via randomized trials before practice change.

Study Design

Type

Observational (n=7,586)

Multicenter

No

Structured PICO

Does a multidisciplinary care coordination intervention reduce all-cause 30-day readmissions in general medicine patients?

P
Population
7,586 patients admitted to a general medicine unit, including 2,620 meeting high risk for readmission criteria, evaluated in a 4-year before-after study.
I
Intervention
Improved care coordination including a Discharge Nurse (D/C RN) for patient/family coaching, a Transitional Care Pharmacist (TC PharmD) for predischarge medication reconciliation and postdischarge phone calls, and modifications to multidisciplinary care rounds.
C
Comparator
Pre-intervention standard care (before-after study design).
O
Outcome
All-cause 30-day readmission rates.hard clinical

Main Result

Absolute Event Rate: 14.5% vs 21%

p-value: p=<0.05

A multidisciplinary care coordination intervention significantly reduced 30-day all-cause readmissions in a general medicine unit.

Cite This Study

Carter et al. (2015) conducted an observational in Hospital readmission (n=7,586). Care coordination (Discharge Nurse and Transitional Care Pharmacist) vs. Preintervention care was evaluated on All-cause 30-day readmission rates (p=<0.05). A multidisciplinary care coordination intervention reduced all-cause 30-day readmissions from 21% preintervention to 14.5% postintervention (p<0.05).

synapsesocial.com/papers/6a20162e76ec520ee9a1a36chttps://doi.org/10.1136/bmjinnov-2015-000048
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hospital Readmissions in the Medicare Population1984 · 321 citations
  2. 2Interventions to improve access to health and social care after discharge from hospital: a systematic review2003 · 67 citations
  3. 3A systematic review of discharge arrangements for older people2002 · 212 citations
  4. 4A Reengineered Hospital Discharge Program to Decrease Rehospitalization2009 · 1,590 citations
  5. 5Reducing 30-Day Readmissions2013 · 42 citations