FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2885694524> ?p ?o ?g. }

• W2885694524 endingPage "271" @default.
• W2885694524 startingPage "264" @default.
• W2885694524 abstract "Purpose/Objectives: Today's health care climate is composed of patients who experience complex conditions with multiple comorbidities, requiring higher utilization of acute care services. It is imperative for acute care and primary care landscapes to bridge silos and form collaborative relationships to ensure safe and effective transitions of care from hospital to home. An interprofessional, posthospital follow-up clinic (Discharge Clinic) is one approach that can be used to improve transitions of care and decrease preventable hospital readmissions. The purpose of the Discharge Clinic is to improve transitions of care and decrease 30-day hospital readmission rates. The clinic's objective is to utilize an interprofessional care team to improve transitions of care posthospital, for complex care patients. Primary Practice Setting: The posthospital Discharge Clinic is an innovative, interprofessional clinic located in a large western state that was initiated to improve transitions of care for its patients discharged from an acute care setting. The interprofessional care team consists of a certified family nurse practitioner, a clinical pharmacist, a nurse case manager, and a social worker. Findings/Conclusions: In 2013, Medicare and private coverage data reveal 30-day readmission rates of 17.3% and 8.6%, respectively (Agency for Health Care Quality and Research, 2013). From February 2016 to September 2016, Discharge Clinic project participants achieved a 30-day readmission rate of 2.7%. The Discharge Clinic enrolled 75 patients in the project (n = 75). The 30-day readmission rate achieved by the Discharge Clinic represents a significant decrease compared with national benchmark data. Two patients enrolled in the project were readmitted within 30 days of hospital discharge. For fiscal year 2015, the medical group's estimated cost of readmissions was $7,156,800 and 30-day all-cause readmission rate was 12.3%. This equated to the Discharge Clinic's estimated impact in reducing readmissions at 9.63% and an estimated savings of $689,199.84. The Discharge Clinic estimated its operating costs at $354,000, which gave a total estimated net savings of $335,199.84. Implications for Case Management Practice: The current health care landscape is composed of an aging population, rising in complexity. New approaches are needed to bridge gaps between acute care and primary care settings. The Discharge Clinic serves as an innovative model that health systems throughout the country can replicate to improve transitions of care for complex patients. The interprofessional care team model can be implemented to advance and bridge the management of acute and ambulatory care patient populations." @default.
• W2885694524 created "2018-08-22" @default.
• W2885694524 creator A5001463738 @default.
• W2885694524 creator A5026051167 @default.
• W2885694524 creator A5042603948 @default.
• W2885694524 date "2018-09-01" @default.
• W2885694524 modified "2023-10-15" @default.
• W2885694524 title "Implementing Posthospital Interprofessional Care Team Visits to Improve Care Transitions and Decrease Hospital Readmission Rates" @default.
• W2885694524 cites W1967143750 @default.
• W2885694524 cites W2017807504 @default.
• W2885694524 cites W2061126936 @default.
• W2885694524 cites W2067183347 @default.
• W2885694524 cites W2074652388 @default.
• W2885694524 cites W2106821222 @default.
• W2885694524 cites W2129997990 @default.
• W2885694524 cites W2141293052 @default.
• W2885694524 cites W2170131723 @default.
• W2885694524 cites W2419139945 @default.
• W2885694524 cites W2440821061 @default.
• W2885694524 doi "https://doi.org/10.1097/ncm.0000000000000284" @default.
• W2885694524 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30059466" @default.
• W2885694524 hasPublicationYear "2018" @default.
• W2885694524 type Work @default.
• W2885694524 sameAs 2885694524 @default.
• W2885694524 citedByCount "18" @default.
• W2885694524 countsByYear W28856945242019 @default.
• W2885694524 countsByYear W28856945242020 @default.
• W2885694524 countsByYear W28856945242021 @default.
• W2885694524 countsByYear W28856945242022 @default.
• W2885694524 countsByYear W28856945242023 @default.
• W2885694524 crossrefType "journal-article" @default.
• W2885694524 hasAuthorship W2885694524A5001463738 @default.
• W2885694524 hasAuthorship W2885694524A5026051167 @default.
• W2885694524 hasAuthorship W2885694524A5042603948 @default.
• W2885694524 hasConcept C104863432 @default.
• W2885694524 hasConcept C124306116 @default.
• W2885694524 hasConcept C159110408 @default.
• W2885694524 hasConcept C160735492 @default.
• W2885694524 hasConcept C162324750 @default.
• W2885694524 hasConcept C194828623 @default.
• W2885694524 hasConcept C2776644030 @default.
• W2885694524 hasConcept C2779457091 @default.
• W2885694524 hasConcept C2779685841 @default.
• W2885694524 hasConcept C2781385661 @default.
• W2885694524 hasConcept C2992462319 @default.
• W2885694524 hasConcept C50522688 @default.
• W2885694524 hasConcept C512399662 @default.
• W2885694524 hasConcept C545542383 @default.
• W2885694524 hasConcept C71924100 @default.
• W2885694524 hasConceptScore W2885694524C104863432 @default.
• W2885694524 hasConceptScore W2885694524C124306116 @default.
• W2885694524 hasConceptScore W2885694524C159110408 @default.
• W2885694524 hasConceptScore W2885694524C160735492 @default.
• W2885694524 hasConceptScore W2885694524C162324750 @default.
• W2885694524 hasConceptScore W2885694524C194828623 @default.
• W2885694524 hasConceptScore W2885694524C2776644030 @default.
• W2885694524 hasConceptScore W2885694524C2779457091 @default.
• W2885694524 hasConceptScore W2885694524C2779685841 @default.
• W2885694524 hasConceptScore W2885694524C2781385661 @default.
• W2885694524 hasConceptScore W2885694524C2992462319 @default.
• W2885694524 hasConceptScore W2885694524C50522688 @default.
• W2885694524 hasConceptScore W2885694524C512399662 @default.
• W2885694524 hasConceptScore W2885694524C545542383 @default.
• W2885694524 hasConceptScore W2885694524C71924100 @default.
• W2885694524 hasIssue "5" @default.
• W2885694524 hasLocation W28856945241 @default.
• W2885694524 hasLocation W28856945242 @default.
• W2885694524 hasOpenAccess W2885694524 @default.
• W2885694524 hasPrimaryLocation W28856945241 @default.
• W2885694524 hasRelatedWork W133631379 @default.
• W2885694524 hasRelatedWork W1748882584 @default.
• W2885694524 hasRelatedWork W2015219769 @default.
• W2885694524 hasRelatedWork W2046393338 @default.
• W2885694524 hasRelatedWork W2092974772 @default.
• W2885694524 hasRelatedWork W2276848117 @default.
• W2885694524 hasRelatedWork W2279863708 @default.
• W2885694524 hasRelatedWork W2914849118 @default.
• W2885694524 hasRelatedWork W3118963729 @default.
• W2885694524 hasRelatedWork W4294160341 @default.
• W2885694524 hasVolume "23" @default.
• W2885694524 isParatext "false" @default.
• W2885694524 isRetracted "false" @default.
• W2885694524 magId "2885694524" @default.
• W2885694524 workType "article" @default.