Enhanced discharge planning intervention for

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Enhanced Discharge Planning Intervention for Hospitalized Older Adults: A Randomized Trial 1) The rationale for this study was to identify risk areas associated with chronic disease in older adults as well as to point out contributing factors such as non-compliance issues or lack of transportation to follow up appointments. This study also evaluated the affect that consistent follow up phone calls had on hospital re-admission rates. 2) Patients selected for participation in this study were ages 65 years or older that had been admitted to the acute care setting between January 2009 and January 2010 and sent home with at least 7 medications and had at least one other risk factor such as no support system at home, fall risk, or hospitalization within the last 12 months. 3) 906 patients were selected for a block design to determine percentage of acute care admittance within 30 days post discharge from the hospital to home. 364 of the selected patients agreed to participate. Approximately 46% of the group was noted to have compliance issues regarding the necessary changes to lifestyle. 4) The study validates the need for consistent follow up post-discharge by an experienced social worker related to the need for support by the older adult. Many older adults do not have support systems and live alone; therefore assistance is needed to ensure consistent follow through across the continuum. Wong, F., Chau, J., Ching, S., Tam, S., & McGhee, S. (2012). Cost effectiveness of a health- social partnership transitional program for post-discharge medical patients. BMC Health Services Research, 12 (1), 479-486. Doi: 10.1186/1472-6963-12-479
Running Head: Capstone Research Project 24 1) This article discusses the current concern that health care providers are faced with regarding hospital re-admittance. This not only creates a financial burden but affects the quality of life for the patient as well. The study was also conducted to bridge the knowledge gap regarding the benefit of transitional care programs. 2) A random study was conducted in which one group received the usual care while the other group received a health-social partnership transitional care management program (HSTCMP) upon discharge. The HSTCMP consisted of nurse case managers coordinating planned events for follow up over a 4 week period. 3) 283 patients were in the usual care group. 272 received the HSTCMP. The cost effectiveness was validated between 28 and 84 days. A study conducted in Ireland showed a cost saving of 5860 per patient over a 3 month time frame. Limitations of the study are noted by the fact that other associated cost is not presented such as cost of transportation. 4) Collaboration between health care professionals that addresses both costs and quality of care will reduce health care cost across the continuum.

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