Transitional care innovation for Medicaid-insured individuals: early findings
Background Chronically ill adults insured by Medicaid experience health inequities following hospitalisation.Local problem Postacute outcomes, including rates of 30-day readmissions and postacute emergency department (ED), were higher among Medicaid-insured individuals compared with commercially ins...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-08-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/11/3/e001798.full |
| _version_ | 1798042100479033344 |
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| author | Rachel French J Margo Brooks Carthon Heather Brom Marguerite Daus Marsha Grantham-Murillo Jovan Bennett Kira Ryskina Eileen Ponietowicz Pamela Cacchione |
| author_facet | Rachel French J Margo Brooks Carthon Heather Brom Marguerite Daus Marsha Grantham-Murillo Jovan Bennett Kira Ryskina Eileen Ponietowicz Pamela Cacchione |
| author_sort | Rachel French |
| collection | DOAJ |
| description | Background Chronically ill adults insured by Medicaid experience health inequities following hospitalisation.Local problem Postacute outcomes, including rates of 30-day readmissions and postacute emergency department (ED), were higher among Medicaid-insured individuals compared with commercially insured individuals and social needs were inconsistently addressed.Methods An interdisciplinary team introduced a clinical pathway called ‘THRIVE’ to provide postacute wrap-around services for individuals insured by Medicaid.Intervention Enrolment into the THRIVE clinical pathway occurred during hospitalisation and multidisciplinary services were deployed into homes within 48 hours of discharge to address clinical and social needs.Results Compared with those not enrolled in THRIVE (n=437), individuals who participated in the THRIVE clinical pathway (n=42) experienced fewer readmissions (14.3% vs 28.4%) and ED visits (14.3% vs 28.8 %).Conclusion THRIVE is a promising clinical pathway that increases access to ambulatory care after discharge and may reduce readmissions and ED visits. |
| first_indexed | 2024-04-11T22:30:48Z |
| format | Article |
| id | doaj.art-0e722fef5c8743bcad9ccdc5d8af7ce5 |
| institution | Directory Open Access Journal |
| issn | 2399-6641 |
| language | English |
| last_indexed | 2024-04-11T22:30:48Z |
| publishDate | 2022-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj.art-0e722fef5c8743bcad9ccdc5d8af7ce52022-12-22T03:59:25ZengBMJ Publishing GroupBMJ Open Quality2399-66412022-08-0111310.1136/bmjoq-2021-001798Transitional care innovation for Medicaid-insured individuals: early findingsRachel French0J Margo Brooks Carthon1Heather Brom2Marguerite Daus3Marsha Grantham-Murillo4Jovan Bennett5Kira Ryskina6Eileen Ponietowicz7Pamela Cacchione8Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USASchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USACollege of Nursing, Villanova University, Villanova, Pennsylvania, USADenver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care (COIN), VA Eastern Colorado Health Care System, Denver, Colorado, USAPenn Medicine at Home, Philadelphia, Pennsylvania, USAPenn Center for Community Health Workers, Philadelphia, Pennsylvania, USAUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USAPenn Presbyterian Medical Center, Philadelphia, Pennsylvania, USASchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USABackground Chronically ill adults insured by Medicaid experience health inequities following hospitalisation.Local problem Postacute outcomes, including rates of 30-day readmissions and postacute emergency department (ED), were higher among Medicaid-insured individuals compared with commercially insured individuals and social needs were inconsistently addressed.Methods An interdisciplinary team introduced a clinical pathway called ‘THRIVE’ to provide postacute wrap-around services for individuals insured by Medicaid.Intervention Enrolment into the THRIVE clinical pathway occurred during hospitalisation and multidisciplinary services were deployed into homes within 48 hours of discharge to address clinical and social needs.Results Compared with those not enrolled in THRIVE (n=437), individuals who participated in the THRIVE clinical pathway (n=42) experienced fewer readmissions (14.3% vs 28.4%) and ED visits (14.3% vs 28.8 %).Conclusion THRIVE is a promising clinical pathway that increases access to ambulatory care after discharge and may reduce readmissions and ED visits.https://bmjopenquality.bmj.com/content/11/3/e001798.full |
| spellingShingle | Rachel French J Margo Brooks Carthon Heather Brom Marguerite Daus Marsha Grantham-Murillo Jovan Bennett Kira Ryskina Eileen Ponietowicz Pamela Cacchione Transitional care innovation for Medicaid-insured individuals: early findings BMJ Open Quality |
| title | Transitional care innovation for Medicaid-insured individuals: early findings |
| title_full | Transitional care innovation for Medicaid-insured individuals: early findings |
| title_fullStr | Transitional care innovation for Medicaid-insured individuals: early findings |
| title_full_unstemmed | Transitional care innovation for Medicaid-insured individuals: early findings |
| title_short | Transitional care innovation for Medicaid-insured individuals: early findings |
| title_sort | transitional care innovation for medicaid insured individuals early findings |
| url | https://bmjopenquality.bmj.com/content/11/3/e001798.full |
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