Key result
Pairing ACO-insured hospitalized adults with community health workers significantly reduced 30-day hospital readmissions compared with usual care (OR 0.44; 95% CI 0.28-0.90).
Why the study?
Reducing preventable readmissions is critical in accountable care organizations, but community health worker interventions to address unmet psychosocial and clinical care needs have been underused in inpatient and postdischarge care.
Does a community health worker intervention reduce 30-day hospital readmissions in hospitalized adults with ACO insurance at high risk for readmission?
Population
550 hospitalized adults with ACO insurance at risk for 30-day readmission at 1 academic medical center
Comparison
Community health worker support vs usual care
Design
Randomized clinical trial
Follow-up
30 days
Authors
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Supports integrating community health workers into ACO discharge planning; extends RCT evidence for transitional care models.
RCT (n=550)
randomized
No
Does a community health worker intervention reduce 30-day hospital readmissions in hospitalized adults with ACO insurance at high risk for readmission?
Odds Ratio: 0.44 (95% CI 0.28–0.9)
Pairing hospitalized adults at high risk for readmission with community health workers significantly reduces 30-day hospital readmissions and missed outpatient appointments, particularly for those discharged to short-term rehabilitation.
Carter et al. (2021) conducted an RCT in Hospitalized patients at risk for 30-day readmission (n=550). Community health worker (CHW) intervention vs. Usual care was evaluated on 30-day hospital readmissions (OR 0.44, 95% CI 0.28-0.90). Pairing ACO-insured hospitalized adults with community health workers significantly reduced 30-day hospital readmissions compared with usual care (OR 0.44; 95% CI 0.28-0.90).
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