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24. Mathematica Study-Effective Transitional Care Intervention: Colema

Reducing Avoidable Hospital Readmissions

Text version of slide presentation.

Mathematica Study—Effective Transitional Care Intervention: Coleman et al. (2006)

  • Used advanced practice nurses (APNs) as transition coaches.
  • Targeted patients hospitalized for various conditions.
  • Patients received (1) tools to promote cross-site communication, (2) encouragement to take a more active role in their care, (3) continuity/ guidance from transition coach.
  • Randomized controlled trial (RCT) (379 treatment, 371 control).
  • Lowered rehospitalization rates at 90 days: For any reason (17% vs. 23%); For initial condition (5% vs. 10%).
  • Lowered hospital costs 19% over 180 days ($2,058 vs. $2,546).

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Page last reviewed June 2009
Internet Citation: 24. Mathematica Study-Effective Transitional Care Intervention: Colema: Reducing Avoidable Hospital Readmissions. June 2009. Agency for Healthcare Research and Quality, Rockville, MD.


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