The Coordinated-Transitional Care (C-TraC) Program reduced rehospitalizations by one-third compared to a baseline group, producing an estimated savings of $1,225 per patient.
Cohort
No
Effect estimate: one-third fewer
The Coordinated-Transitional Care (C-TraC) Program was designed to improve care coordination and outcomes among veterans with high-risk conditions discharged to community settings from the William S. Middleton Memorial Veterans Hospital, in Madison, Wisconsin. Under the program, patients work with nurse case managers on care and health issues, including medication reconciliation, before and after hospital discharge, with all contacts made by phone once the patient is at home. Patients who received the C-TraC protocol experienced one-third fewer rehospitalizations than those in a baseline comparison group, producing an estimated savings of 1, 225 per patient net of programmatic costs. This model requires a relatively small amount of resources to operate and may represent a viable alternative for hospitals seeking to offer improved transitional care as encouraged by the Affordable Care Act. In particular, the model may be attractive for providers in rural areas or other care settings challenged by wide geographic dispersion of patients or by constrained resources.
Kind et al. (Sat,) conducted a cohort in High-risk conditions requiring hospital discharge to community settings. Coordinated-Transitional Care (C-TraC) Program vs. Baseline comparison group was evaluated on Rehospitalization (one-third fewer). The Coordinated-Transitional Care (C-TraC) Program reduced rehospitalizations by one-third compared to a baseline group, producing an estimated savings of $1,225 per patient.