Trauma Transitional Care Coordination: protecting the most vulnerable trauma patients from hospital readmission

Trauma Surgery & Acute Care Open
Erin C HallDeborah M Stein

Abstract

Unplanned hospital readmissions increase healthcare costs and patient morbidity. We hypothesized that a program designed to reduce trauma readmissions would be effective. A Trauma Transitional Care Coordination (TTCC) program was created to support patients at high risk for readmission. TTCC interventions included call to patient (or caregiver) within 72 hours of discharge to identify barriers to care, complete medication reconciliation, coordination of appointments, and individualized problem solving. Information on all 30-day readmissions was collected. 30-day readmission rates were compared with center-specific readmission rates and population-based, risk-adjusted rates of readmission using published benchmarks. 260 patients were enrolled in the TTCC program from January 2014 to September 2015. 30.8% (n=80) of enrollees were uninsured, 41.9% (n=109) reported current substance abuse, and 26.9% (n=70) had a current psychiatric diagnosis. 74.2% (n=193) attended outpatient trauma appointments within 14 days of discharge. 96.3% were successfully followed. Only 6.6% (n=16) of patients were readmitted in the first 30 days after discharge. This was significantly lower than both center-specific readmission rates before start of the p...Continue Reading

Citations

Aug 8, 2019·The Journal of Trauma and Acute Care Surgery·Jordan A WeinbergJames N Bogert
Jan 26, 2018·The Journal of Trauma and Acute Care Surgery·Erin C HallDeborah M Stein
Jul 29, 2019·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Linda SandströmPäivi Juuso
Oct 26, 2021·The Journal of Trauma and Acute Care Surgery·Matthew J CarrMatthew J Martin

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