期刊
AMERICAN JOURNAL OF MEDICAL QUALITY
卷 36, 期 4, 页码 221-228出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1177/1062860620946362
关键词
transitions in care; implementation science; quality improvement; veterans
资金
- Veterans Affairs Health Services Research and Development-Quality Enhancement Research Initiative [QUE 15-268]
The CHTP intervention program was developed to provide timely follow-up care for veterans discharged from non-VA hospitals, leading to improved quality of coordinated transitional care.
Veterans are increasingly eligible for non-VA care through the Veteran Health Administration (VA) Maintaining Internal Systems and Strengthening Integrated Outside Networks Act while maintaining care in the VA. Continuity of care is challenging when delivered across multiple systems resulting in avoidable complications. The Community Hospital Transitions Program (CHTP) intervention was developed to address challenges veterans face post non-VA hospitalization. Propensity score-matched analysis was used to compare outcomes between 334 intervention and matched control patients who were discharged from non-VA hospitals. Veterans in CHTP were more likely than matched controls to receive a follow-up appointment within 14 days (mean: 0.43 vs 0.34, P <.05) and 30 days (mean: 0.62 vs 0.50, P <.05). There were no significant differences in 30-day readmissions or 30-day emergency department visits. CHTP veterans received timely follow-up care post discharge in VA facilities. Providing quality care to dual-use veterans is dependent on coordinated transitional care.
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