Key result
Transitional care management shows no significant association with lower 30-day readmissions compared to no TCM.
Why the study?
Current care transitions are associated with medication discrepancies, poor outcomes, and adverse clinical events, and there is a need to evaluate the impact of transitional care management services involving pharmacists and nonphysician practitioners.
Do Transitional Care Management services from an interprofessional team reduce 30-day hospital readmission rates among Medicare beneficiaries?
Observational (n=226)
Do Transitional Care Management services from an interprofessional team reduce 30-day hospital readmission rates among Medicare beneficiaries?
Effect estimate: 51% relative risk reduction
Absolute Event Rate: 6.7% vs 12%
p-value: p=0.174
Although not statistically significant, Transitional Care Management services demonstrated a 51% relative risk reduction in 30-day hospital readmissions among Medicare beneficiaries.
May support TCM integration by nonphysician practitioners; leaves open need for prospective trials before practice change.
Purpose: To diminish the negative effects associated with current care transitions (medication discrepancies, poor outcomes, adverse clinical events) while also giving pharmacists and other nonphysician practitioners opportunity to display their value to the health care system. Methods: A retrospective medical record review was conducted on patients admitted to the hospital to observe whether a transitions of care management (TCM) services altered hospital readmission within 30 days. Sampling occurred via a convenience sample to capture all patients during the specified time frame. Results: There were 226 hospital admissions during the study period (April 2015-February 2016). TCM encounters were performed for 75 of them. The number of readmissions with patients who had a Transitional Care Management encounter was only 5 of 24 total readmissions while 19 of the 151 patients who had not had a Transitional Care Management encounter were readmitted (6.7% compared with 12%; P = .174). These results demonstrate a 51% relative risk reduction. Conclusion: The utilization of a Transitional Care Management team reduced the rate of readmission among Medicare beneficiaries by 50%. Economically, the TCM approach saves the hospital money by reducing the rate of readmissions that the hospital must reimburse.
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Henriksen et al. (2018) conducted an observational in Hospital admission in Medicare beneficiaries (n=226). Transitional Care Management (TCM) services vs. No Transitional Care Management encounter was evaluated on Hospital readmission within 30 days (51% relative risk reduction, p=0.174). Transitional care management services were associated with a 30-day readmission rate of 6.7% compared to 12% without TCM, a 51% relative risk reduction (P=0.174).
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