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Predischarge Provider Visits as a Method of Improving Transitional Care Clinic Visit Rates

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Supplemental Digital Content is Available in the Text. Background: Transitional care interventions have been associated with reduced 30-day patient readmission, better quality of health care, and lower emergency department visits… Click to show full abstract

Supplemental Digital Content is Available in the Text. Background: Transitional care interventions have been associated with reduced 30-day patient readmission, better quality of health care, and lower emergency department visits and health care costs. Local Problem: Transition Services at a major quaternary care center was underutilized by patients who were referred to the program. Methods: A pre-/postimplementation evaluation design was used to evaluate a quality improvement intervention. Intervention: A face-to-face meeting between eligible patients and a Transition Services provider prior to patients being discharged from the hospital was evaluated as a process improvement intervention. The primary outcome was initial appointment attendance at the Transition Services clinic following hospital discharge. Results: There was no statistically significant difference (P = .59) in patients' initial appointment attendance at Transition Services between the preintervention (48.1%) and intervention phases (54.8%). Conclusion: Provider engagement during hospitalization did not increase initial appointment attendance at Transition Services. Other strategies to improve Transition Services attendance rates are needed.

Keywords: care; intervention; provider; transitional care; transition services

Journal Title: Journal of Nursing Care Quality
Year Published: 2020

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