Key result
A community-based transitional care program for older adults provided a critical safety net and facilitated transitions to more advanced care.
Observational
A community-based transitional care program for older adults provided a safety net and facilitated transition to advanced care, highlighting the value of patient-centered success metrics beyond readmission rates.
Supports safety net role of transitional care programs beyond readmissions in older adults; leaves open effects of hospitalwide scaling.
This study examined the implementation and hospitalwide scaling of a community-based transitional care program to reduce readmissions among adults 65 years or older. Our analysis was guided by the Care Transitions Framework and was based on semistructured interviews with program implementers to identify intervention successes, barriers, and outcomes beyond reducing readmissions. Such outcomes included the program's critical role in providing a safety net and transition to more advanced care, and redefining intervention success from more patient-centered perspectives.
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Hung et al. (2017) conducted an observational in Hospital readmissions. Community-based transitional care program was evaluated on Intervention successes, barriers, and outcomes beyond reducing readmissions. A community-based transitional care program for older adults provided a critical safety net and facilitated transitions to more advanced care.
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