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. 2014 May;29(5):798-804.
doi: 10.1007/s11606-014-2819-8.

Implementation Science Workshop: primary care-based multidisciplinary readmission prevention program

Jamie Jurkiewicz Cavanaugh  1 , Christine D Jones, Genevieve Embree, Katy Tsai, Thomas Miller, Betsy Bryant Shilliday, Brooke McGuirt, Robin Roche, Michael Pignone, Darren A DeWalt, Shana Ratner
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Implementation Science Workshop: primary care-based multidisciplinary readmission prevention program

Jamie Jurkiewicz Cavanaugh et al. J Gen Intern Med. 2014 May.
No abstract available

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Figures

Figure 1
Figure 1
Visit components.
Figure 2
Figure 2
Time to follow-up within 14 and 30 days run chart.
Figure 3
Figure 3
Unadjusted Kaplan Meier survival curves of 90 day readmissions and composite outcomes (ED visits or readmissions). (a) Hospital readmissions over 90 days. (b) Composite outcomes (ED visits or hospital readmissions) over 90 days.
Figure 4
Figure 4
Primary analysis reasons for exclusion. a Usual Care. *After exclusions, the usual care group consisted of 52 patients with 54 hospitalizations. †Five patients were represented in both the intervention and usual care groups with separate hospitalizations that were more than 30 days apart from the time of discharge to readmission. b Intervention Group. *Sixty patients had 67 index hospitalizations connected to 67 hospital follow-up clinic visits. †After exclusions, the intervention group included 52 patients with 54 discharges.
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References

    1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428. doi: 10.1056/NEJMsa0803563. - DOI - PubMed
    1. Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822–1828. doi: 10.1001/archinte.166.17.1822. - DOI - PubMed
    1. Coleman EA, Min SJ, Chomiak A, Kramer AM. Posthospital care transitions: patterns, complications, and risk identification. Health Serv Res. 2004;39(5):1449–1465. doi: 10.1111/j.1475-6773.2004.00298.x. - DOI - PMC - PubMed
    1. Naylor MD, Brooten D, Campbell R, Jacobsen BS, Mezey MD, Pauly MV, et al. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA. 1999;281(7):613–620. doi: 10.1001/jama.281.7.613. - DOI - PubMed
    1. Naylor MD, Brooten DA, Campbell RL, Maislin G, McCauley KM, Schwartz JS. Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. J Am Geriatr Soc. 2004;52(5):675–684. doi: 10.1111/j.1532-5415.2004.52202.x. - DOI - PubMed

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