Key result
The Coleman Care Transition Intervention did not significantly reduce return ED visits or hospitalizations within 60 days compared to usual care.
Why the study?
Hospital-based acute care preventable with outpatient care contributes to system waste and patient harm, motivating whether an ED-to-home transitional care intervention reduces such care in chronically ill, older ED visitors.
Does an ED-to-home transitional care intervention reduce hospital-based acute care in chronically ill, older Medicare beneficiaries presenting to the ED?
Population
Chronically ill, older Medicare fee-for-service beneficiaries presenting to two Florida EDs
Comparison
Coleman Care Transition Intervention adapted for ED visitors vs usual care
Design
Convergent, parallel, mixed-methods design including a randomized controlled trial
Follow-up
60 days
Authors
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Does not support routine ED-to-home transitional care; challenges hypothesis that such programs reduce acute care use in older adults.
RCT
Yes
Does an ED-to-home transitional care intervention reduce hospital-based acute care in chronically ill, older Medicare beneficiaries presenting to the ED?
An ED-to-home transitional care intervention did not significantly reduce return ED visits or hospitalizations in chronically ill Medicare beneficiaries, suggesting structural health system factors drive acute care utilization.
Schumacher et al. (2020) conducted an RCT in Chronic illness presenting to the ED. Coleman Care Transition Intervention adapted for ED visitors vs. Usual Care was evaluated on Hospital-based acute care within 60 days of index ED visit. The Coleman Care Transition Intervention did not significantly reduce return ED visits or hospitalizations within 60 days compared to usual care.
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