Mobile integrated health to reduce post-discharge acute care visits: A pilot study
Mobile Integrated Health (MIH) leverages specially trained paramedics outside of emergency response to bridge gaps in local health care delivery. To evaluate the efficacy of a MIH led transitional care strategy to reduce acute care utilization. This was a retrospective cohort analysis of a quality i...
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| Veröffentlicht in: | The American journal of emergency medicine 2018-05, Vol.36 (5), p.843-845 |
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| container_title | The American journal of emergency medicine |
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| creator | Siddle, Jennica Pang, Peter S. Weaver, Christopher Weinstein, Elizabeth O'Donnell, Daniel Arkins, Thomas P. Miramonti, Charles |
| description | Mobile Integrated Health (MIH) leverages specially trained paramedics outside of emergency response to bridge gaps in local health care delivery.
To evaluate the efficacy of a MIH led transitional care strategy to reduce acute care utilization.
This was a retrospective cohort analysis of a quality improvement pilot of patients from an urban, single county EMS, MIH transitional care initiative. We utilized a paramedic/social worker (or social care coordinator) dyad to provide in home assessments, medication review, care coordination, and improve access to care. The primary outcome compared acute care utilization (ED visits, observation stays, inpatient visits) 90days before MIH intervention to 90days after.
Of the 203 patients seen by MIH teams, inpatient utilization decreased significantly from 140 hospitalizations pre-MIH to 26 post-MIH (83% reduction, p=0.00). ED and observation stays, however, increased numerically, but neither was significant. (ED 18 to 19 stays, p=0.98; observation stays 95 to 106, p=0.30) Primary care visits increased 15% (p=0.11).
In this pilot before/after study, MIH significantly reduces acute care hospitalizations. |
| doi_str_mv | 10.1016/j.ajem.2017.12.064 |
| format | Article |
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To evaluate the efficacy of a MIH led transitional care strategy to reduce acute care utilization.
This was a retrospective cohort analysis of a quality improvement pilot of patients from an urban, single county EMS, MIH transitional care initiative. We utilized a paramedic/social worker (or social care coordinator) dyad to provide in home assessments, medication review, care coordination, and improve access to care. The primary outcome compared acute care utilization (ED visits, observation stays, inpatient visits) 90days before MIH intervention to 90days after.
Of the 203 patients seen by MIH teams, inpatient utilization decreased significantly from 140 hospitalizations pre-MIH to 26 post-MIH (83% reduction, p=0.00). ED and observation stays, however, increased numerically, but neither was significant. (ED 18 to 19 stays, p=0.98; observation stays 95 to 106, p=0.30) Primary care visits increased 15% (p=0.11).
In this pilot before/after study, MIH significantly reduces acute care hospitalizations.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2017.12.064</identifier><identifier>PMID: 29317154</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Chronic obstructive pulmonary disease ; Continuity of care ; Emergency medical care ; Emergency preparedness ; Health care access ; Health services utilization ; Heart attacks ; Heart failure ; Hospitalization ; Hospitals ; Intervention ; Paramedics ; Patients ; Pneumonia ; Primary care ; Quality control ; Teams</subject><ispartof>The American journal of emergency medicine, 2018-05, Vol.36 (5), p.843-845</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited May 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-9354e56e303ff2b29e3721da521fe8e1d84f37ca20ff45f930ded7c1a1516e2e3</citedby><cites>FETCH-LOGICAL-c428t-9354e56e303ff2b29e3721da521fe8e1d84f37ca20ff45f930ded7c1a1516e2e3</cites><orcidid>0000-0003-3444-2811</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2029490563?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974,64362,64364,64366,72216</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29317154$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Siddle, Jennica</creatorcontrib><creatorcontrib>Pang, Peter S.</creatorcontrib><creatorcontrib>Weaver, Christopher</creatorcontrib><creatorcontrib>Weinstein, Elizabeth</creatorcontrib><creatorcontrib>O'Donnell, Daniel</creatorcontrib><creatorcontrib>Arkins, Thomas P.</creatorcontrib><creatorcontrib>Miramonti, Charles</creatorcontrib><creatorcontrib>on behalf of the MIH CORE team</creatorcontrib><creatorcontrib>MIH CORE team</creatorcontrib><title>Mobile integrated health to reduce post-discharge acute care visits: A pilot study</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Mobile Integrated Health (MIH) leverages specially trained paramedics outside of emergency response to bridge gaps in local health care delivery.
To evaluate the efficacy of a MIH led transitional care strategy to reduce acute care utilization.
This was a retrospective cohort analysis of a quality improvement pilot of patients from an urban, single county EMS, MIH transitional care initiative. We utilized a paramedic/social worker (or social care coordinator) dyad to provide in home assessments, medication review, care coordination, and improve access to care. The primary outcome compared acute care utilization (ED visits, observation stays, inpatient visits) 90days before MIH intervention to 90days after.
Of the 203 patients seen by MIH teams, inpatient utilization decreased significantly from 140 hospitalizations pre-MIH to 26 post-MIH (83% reduction, p=0.00). ED and observation stays, however, increased numerically, but neither was significant. (ED 18 to 19 stays, p=0.98; observation stays 95 to 106, p=0.30) Primary care visits increased 15% (p=0.11).
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To evaluate the efficacy of a MIH led transitional care strategy to reduce acute care utilization.
This was a retrospective cohort analysis of a quality improvement pilot of patients from an urban, single county EMS, MIH transitional care initiative. We utilized a paramedic/social worker (or social care coordinator) dyad to provide in home assessments, medication review, care coordination, and improve access to care. The primary outcome compared acute care utilization (ED visits, observation stays, inpatient visits) 90days before MIH intervention to 90days after.
Of the 203 patients seen by MIH teams, inpatient utilization decreased significantly from 140 hospitalizations pre-MIH to 26 post-MIH (83% reduction, p=0.00). ED and observation stays, however, increased numerically, but neither was significant. (ED 18 to 19 stays, p=0.98; observation stays 95 to 106, p=0.30) Primary care visits increased 15% (p=0.11).
In this pilot before/after study, MIH significantly reduces acute care hospitalizations.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29317154</pmid><doi>10.1016/j.ajem.2017.12.064</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0003-3444-2811</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0735-6757 |
| ispartof | The American journal of emergency medicine, 2018-05, Vol.36 (5), p.843-845 |
| issn | 0735-6757 1532-8171 |
| language | eng |
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| source | ScienceDirect; ProQuest Central UK/Ireland |
| subjects | Chronic obstructive pulmonary disease Continuity of care Emergency medical care Emergency preparedness Health care access Health services utilization Heart attacks Heart failure Hospitalization Hospitals Intervention Paramedics Patients Pneumonia Primary care Quality control Teams |
| title | Mobile integrated health to reduce post-discharge acute care visits: A pilot study |
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