The Transitions Of Care Bundle (TOCB™) enabled all patients to be discharged home, compared to only 36% in the control group, suggesting a reduced risk of readmission.
Does the Transitions Of Care Bundle (TOCB™) improve post-discharge outcomes in COVID-19 patients?
Implementation of a Transitions of Care Bundle for COVID-19 patients is associated with improved discharge dispositions, shorter hospital stays, and fewer subsequent healthcare encounters.
Vulnerable populations experience higher mortality and readmission after hospital discharge. We sought to evaluate the impact of the Transitions Of Care Bundle (TOCB™) on COVID-19 patient outcomes post-discharge compared to a control cohort. This retrospective study used electronic health record data collected for 243 COVID-19 patients (65 TOCB™, 178 control) during the initial pandemic months at a large academic facility in Northeast New Jersey (NJ). Data included demographics, comorbidities, readmissions, mortality, and payor. The TOCB™ cohort had proportionally more Hispanic patients (56.92% vs. 48.3%, p = 0.0885). All TOCB™ patients were discharged home without needing additional services, compared to only 36% of the control group. The implementation of TOCB™ was associated with shorter hospital stays, a potential decrease in readmission rates, and fewer emergency department visits. These results imply that well-coordinated post-discharge services are linked to a diminished risk of mortality, possible hospital readmission, and other adverse health outcomes.
Bernard et al. (2026) studied this question. The Transitions Of Care Bundle (TOCB™) enabled all patients to be discharged home, compared to only 36% in the control group, suggesting a reduced risk of readmission.