Improving Transitions to Postacute Care for Elderly Patients Using a Novel Video-Conferencing Program: ECHO-Care Transitions
Within 30 days of hospital discharge to a skilled nursing facility, older adults are at high risk for death, re-hospitalization, and high-cost health care. The purpose of this study was to examine whether a novel videoconference program called Extension for Community Health Outcomes-Care Transitions...
Gespeichert in:
| Veröffentlicht in: | The American journal of medicine 2017-10, Vol.130 (10), p.1199-1204 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1204 |
|---|---|
| container_issue | 10 |
| container_start_page | 1199 |
| container_title | The American journal of medicine |
| container_volume | 130 |
| creator | Moore, Amber B. Krupp, J. Elyse Dufour, Alyssa B. Sircar, Mousumi Travison, Thomas G. Abrams, Alan Farris, Grace Mattison, Melissa L.P. Lipsitz, Lewis A. |
| description | Within 30 days of hospital discharge to a skilled nursing facility, older adults are at high risk for death, re-hospitalization, and high-cost health care. The purpose of this study was to examine whether a novel videoconference program called Extension for Community Health Outcomes-Care Transitions (ECHO-CT) that connects an interdisciplinary hospital-based team with clinicians at skilled nursing facilities reduces patient mortality, hospital readmission, skilled nursing facility length of stay, and 30-day health care costs.
We undertook a prospective cohort study comparing cost and health care utilization outcomes between ECHO-CT facilities and matched comparisons from January 2014-December 2014.
Thirty-day readmission rates were significantly lower in the intervention group (odds ratio 0.57; 95% CI, 0.34-0.96; P-value .04), as were the 30-day total health care cost ($2602.19 lower; 95% CI, −$4133.90 to −$1070.48; P-value |
| doi_str_mv | 10.1016/j.amjmed.2017.04.041 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1903436901</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002934317305259</els_id><sourcerecordid>1903436901</sourcerecordid><originalsourceid>FETCH-LOGICAL-c362t-a62a831f87df47acf7feb7f1c074289b6ea356243cb3e8bc322bbefa116436163</originalsourceid><addsrcrecordid>eNp9kE1LJDEQhsOirKPuP1iWHL30mK9Od-9hYWnGDxCdg-41pNMVydDdcZPMgOCPN-0oeBIKiqLet17qQegnJUtKqDzfLPW4GaFfMkKrJRG56De0oGVZFhWV7AAtCCGsaLjgR-g4xk0eSVPK7-iI1WVJieAL9HI9PgW_c9Mjvg96ii45P0WcPF77mLTZJsCtDoCtD3g19BCGZ7zWycGUIn6Is1HjW7-DAf9zPfii9ZOFAJOZV-vgH4Mef-NVe3VXvB36FHOKDq0eIvx47yfo4WJ1314VN3eX1-3fm8JwyVKhJdM1p7aueisqbWxloassNaQSrG46CZqXkgluOg51ZzhjXQdWUyoFl1TyE3S2v5tf_b-FmNToooFh0BP4bVS0IRmSbAjNUrGXmuBjDGDVU3CjDs-KEjVzVxu1565m7oqIXLPt13vCtpt3H6YP0FnwZy-A_OfOQVDRZIYGehfAJNV793XCK9A0ltQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1903436901</pqid></control><display><type>article</type><title>Improving Transitions to Postacute Care for Elderly Patients Using a Novel Video-Conferencing Program: ECHO-Care Transitions</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Moore, Amber B. ; Krupp, J. Elyse ; Dufour, Alyssa B. ; Sircar, Mousumi ; Travison, Thomas G. ; Abrams, Alan ; Farris, Grace ; Mattison, Melissa L.P. ; Lipsitz, Lewis A.</creator><creatorcontrib>Moore, Amber B. ; Krupp, J. Elyse ; Dufour, Alyssa B. ; Sircar, Mousumi ; Travison, Thomas G. ; Abrams, Alan ; Farris, Grace ; Mattison, Melissa L.P. ; Lipsitz, Lewis A.</creatorcontrib><description>Within 30 days of hospital discharge to a skilled nursing facility, older adults are at high risk for death, re-hospitalization, and high-cost health care. The purpose of this study was to examine whether a novel videoconference program called Extension for Community Health Outcomes-Care Transitions (ECHO-CT) that connects an interdisciplinary hospital-based team with clinicians at skilled nursing facilities reduces patient mortality, hospital readmission, skilled nursing facility length of stay, and 30-day health care costs.
We undertook a prospective cohort study comparing cost and health care utilization outcomes between ECHO-CT facilities and matched comparisons from January 2014-December 2014.
Thirty-day readmission rates were significantly lower in the intervention group (odds ratio 0.57; 95% CI, 0.34-0.96; P-value .04), as were the 30-day total health care cost ($2602.19 lower; 95% CI, −$4133.90 to −$1070.48; P-value <.001) and the average length of stay at the skilled nursing facility (−5.52 days; 95% CI, −9.61 to −1.43; P = .001). The 30-day mortality rate was not significantly lower in the intervention group (odds ratio 0.38; 95% CI, 0.11-1.24; P = .11).
Patients discharged to skilled nursing facilities participating in the ECHO-CT program had shorter lengths of stay, lower 30-day rehospitalization rates, and lower 30-day health care costs compared with those in matched skilled nursing facilities delivering usual care. ECHO-CT may improve patient transitions to postacute care at lower overall cost.</description><identifier>ISSN: 0002-9343</identifier><identifier>EISSN: 1555-7162</identifier><identifier>DOI: 10.1016/j.amjmed.2017.04.041</identifier><identifier>PMID: 28551043</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Care transitions ; Continuity of Patient Care - standards ; ECHO ; Female ; Health Care Costs ; Humans ; Length of Stay ; Male ; Patient Discharge ; Patient Readmission - statistics & numerical data ; Prospective Studies ; Quality Improvement ; Readmissions ; Skilled Nursing Facilities ; Videoconferencing</subject><ispartof>The American journal of medicine, 2017-10, Vol.130 (10), p.1199-1204</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-a62a831f87df47acf7feb7f1c074289b6ea356243cb3e8bc322bbefa116436163</citedby><cites>FETCH-LOGICAL-c362t-a62a831f87df47acf7feb7f1c074289b6ea356243cb3e8bc322bbefa116436163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amjmed.2017.04.041$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28551043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moore, Amber B.</creatorcontrib><creatorcontrib>Krupp, J. Elyse</creatorcontrib><creatorcontrib>Dufour, Alyssa B.</creatorcontrib><creatorcontrib>Sircar, Mousumi</creatorcontrib><creatorcontrib>Travison, Thomas G.</creatorcontrib><creatorcontrib>Abrams, Alan</creatorcontrib><creatorcontrib>Farris, Grace</creatorcontrib><creatorcontrib>Mattison, Melissa L.P.</creatorcontrib><creatorcontrib>Lipsitz, Lewis A.</creatorcontrib><title>Improving Transitions to Postacute Care for Elderly Patients Using a Novel Video-Conferencing Program: ECHO-Care Transitions</title><title>The American journal of medicine</title><addtitle>Am J Med</addtitle><description>Within 30 days of hospital discharge to a skilled nursing facility, older adults are at high risk for death, re-hospitalization, and high-cost health care. The purpose of this study was to examine whether a novel videoconference program called Extension for Community Health Outcomes-Care Transitions (ECHO-CT) that connects an interdisciplinary hospital-based team with clinicians at skilled nursing facilities reduces patient mortality, hospital readmission, skilled nursing facility length of stay, and 30-day health care costs.
We undertook a prospective cohort study comparing cost and health care utilization outcomes between ECHO-CT facilities and matched comparisons from January 2014-December 2014.
Thirty-day readmission rates were significantly lower in the intervention group (odds ratio 0.57; 95% CI, 0.34-0.96; P-value .04), as were the 30-day total health care cost ($2602.19 lower; 95% CI, −$4133.90 to −$1070.48; P-value <.001) and the average length of stay at the skilled nursing facility (−5.52 days; 95% CI, −9.61 to −1.43; P = .001). The 30-day mortality rate was not significantly lower in the intervention group (odds ratio 0.38; 95% CI, 0.11-1.24; P = .11).
Patients discharged to skilled nursing facilities participating in the ECHO-CT program had shorter lengths of stay, lower 30-day rehospitalization rates, and lower 30-day health care costs compared with those in matched skilled nursing facilities delivering usual care. ECHO-CT may improve patient transitions to postacute care at lower overall cost.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Care transitions</subject><subject>Continuity of Patient Care - standards</subject><subject>ECHO</subject><subject>Female</subject><subject>Health Care Costs</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Patient Discharge</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Prospective Studies</subject><subject>Quality Improvement</subject><subject>Readmissions</subject><subject>Skilled Nursing Facilities</subject><subject>Videoconferencing</subject><issn>0002-9343</issn><issn>1555-7162</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LJDEQhsOirKPuP1iWHL30mK9Od-9hYWnGDxCdg-41pNMVydDdcZPMgOCPN-0oeBIKiqLet17qQegnJUtKqDzfLPW4GaFfMkKrJRG56De0oGVZFhWV7AAtCCGsaLjgR-g4xk0eSVPK7-iI1WVJieAL9HI9PgW_c9Mjvg96ii45P0WcPF77mLTZJsCtDoCtD3g19BCGZ7zWycGUIn6Is1HjW7-DAf9zPfii9ZOFAJOZV-vgH4Mef-NVe3VXvB36FHOKDq0eIvx47yfo4WJ1314VN3eX1-3fm8JwyVKhJdM1p7aueisqbWxloassNaQSrG46CZqXkgluOg51ZzhjXQdWUyoFl1TyE3S2v5tf_b-FmNToooFh0BP4bVS0IRmSbAjNUrGXmuBjDGDVU3CjDs-KEjVzVxu1565m7oqIXLPt13vCtpt3H6YP0FnwZy-A_OfOQVDRZIYGehfAJNV793XCK9A0ltQ</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Moore, Amber B.</creator><creator>Krupp, J. Elyse</creator><creator>Dufour, Alyssa B.</creator><creator>Sircar, Mousumi</creator><creator>Travison, Thomas G.</creator><creator>Abrams, Alan</creator><creator>Farris, Grace</creator><creator>Mattison, Melissa L.P.</creator><creator>Lipsitz, Lewis A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201710</creationdate><title>Improving Transitions to Postacute Care for Elderly Patients Using a Novel Video-Conferencing Program: ECHO-Care Transitions</title><author>Moore, Amber B. ; Krupp, J. Elyse ; Dufour, Alyssa B. ; Sircar, Mousumi ; Travison, Thomas G. ; Abrams, Alan ; Farris, Grace ; Mattison, Melissa L.P. ; Lipsitz, Lewis A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-a62a831f87df47acf7feb7f1c074289b6ea356243cb3e8bc322bbefa116436163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Care transitions</topic><topic>Continuity of Patient Care - standards</topic><topic>ECHO</topic><topic>Female</topic><topic>Health Care Costs</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Patient Discharge</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>Prospective Studies</topic><topic>Quality Improvement</topic><topic>Readmissions</topic><topic>Skilled Nursing Facilities</topic><topic>Videoconferencing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moore, Amber B.</creatorcontrib><creatorcontrib>Krupp, J. Elyse</creatorcontrib><creatorcontrib>Dufour, Alyssa B.</creatorcontrib><creatorcontrib>Sircar, Mousumi</creatorcontrib><creatorcontrib>Travison, Thomas G.</creatorcontrib><creatorcontrib>Abrams, Alan</creatorcontrib><creatorcontrib>Farris, Grace</creatorcontrib><creatorcontrib>Mattison, Melissa L.P.</creatorcontrib><creatorcontrib>Lipsitz, Lewis A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moore, Amber B.</au><au>Krupp, J. Elyse</au><au>Dufour, Alyssa B.</au><au>Sircar, Mousumi</au><au>Travison, Thomas G.</au><au>Abrams, Alan</au><au>Farris, Grace</au><au>Mattison, Melissa L.P.</au><au>Lipsitz, Lewis A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving Transitions to Postacute Care for Elderly Patients Using a Novel Video-Conferencing Program: ECHO-Care Transitions</atitle><jtitle>The American journal of medicine</jtitle><addtitle>Am J Med</addtitle><date>2017-10</date><risdate>2017</risdate><volume>130</volume><issue>10</issue><spage>1199</spage><epage>1204</epage><pages>1199-1204</pages><issn>0002-9343</issn><eissn>1555-7162</eissn><abstract>Within 30 days of hospital discharge to a skilled nursing facility, older adults are at high risk for death, re-hospitalization, and high-cost health care. The purpose of this study was to examine whether a novel videoconference program called Extension for Community Health Outcomes-Care Transitions (ECHO-CT) that connects an interdisciplinary hospital-based team with clinicians at skilled nursing facilities reduces patient mortality, hospital readmission, skilled nursing facility length of stay, and 30-day health care costs.
We undertook a prospective cohort study comparing cost and health care utilization outcomes between ECHO-CT facilities and matched comparisons from January 2014-December 2014.
Thirty-day readmission rates were significantly lower in the intervention group (odds ratio 0.57; 95% CI, 0.34-0.96; P-value .04), as were the 30-day total health care cost ($2602.19 lower; 95% CI, −$4133.90 to −$1070.48; P-value <.001) and the average length of stay at the skilled nursing facility (−5.52 days; 95% CI, −9.61 to −1.43; P = .001). The 30-day mortality rate was not significantly lower in the intervention group (odds ratio 0.38; 95% CI, 0.11-1.24; P = .11).
Patients discharged to skilled nursing facilities participating in the ECHO-CT program had shorter lengths of stay, lower 30-day rehospitalization rates, and lower 30-day health care costs compared with those in matched skilled nursing facilities delivering usual care. ECHO-CT may improve patient transitions to postacute care at lower overall cost.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28551043</pmid><doi>10.1016/j.amjmed.2017.04.041</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9343 |
| ispartof | The American journal of medicine, 2017-10, Vol.130 (10), p.1199-1204 |
| issn | 0002-9343 1555-7162 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1903436901 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Aged, 80 and over Care transitions Continuity of Patient Care - standards ECHO Female Health Care Costs Humans Length of Stay Male Patient Discharge Patient Readmission - statistics & numerical data Prospective Studies Quality Improvement Readmissions Skilled Nursing Facilities Videoconferencing |
| title | Improving Transitions to Postacute Care for Elderly Patients Using a Novel Video-Conferencing Program: ECHO-Care Transitions |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T21%3A06%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Improving%20Transitions%20to%20Postacute%20Care%20for%20Elderly%20Patients%20Using%20a%20Novel%20Video-Conferencing%20Program:%20ECHO-Care%20Transitions&rft.jtitle=The%20American%20journal%20of%20medicine&rft.au=Moore,%20Amber%20B.&rft.date=2017-10&rft.volume=130&rft.issue=10&rft.spage=1199&rft.epage=1204&rft.pages=1199-1204&rft.issn=0002-9343&rft.eissn=1555-7162&rft_id=info:doi/10.1016/j.amjmed.2017.04.041&rft_dat=%3Cproquest_cross%3E1903436901%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1903436901&rft_id=info:pmid/28551043&rft_els_id=S0002934317305259&rfr_iscdi=true |