Improving Posthospital Discharge Telephone Reach Rates Through Prehospital Discharge Face-to-Face Meetings

Vergara, Franz Henryk; Sheridan, Daniel J.; Sullivan, Nancy; Budhathoki, Chakra

doi:10.1097/ncm.0000000000000243

Cited by 6 publications

(8 citation statements)

References 11 publications

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“…The 97.7% TFU reach rate was similar to that of a previous study that utilized face-to-face meetings before hospital discharge for medical patients. 6 Past studies demonstrated TFU reach rates between 86% and 99% in medical patients. 6,[17][18][19][20] When compared to the average TFU reach rates (58%) of medical patients who did not receive face-to-face meeting interventions at the Johns Hopkins Hospital, 6 the baseline reach rate for neurosurgical patients was still very high (76.1%) even though face-to-face meetings were not employed.…”

Section: Discussionmentioning

confidence: 99%

“…6 Past studies demonstrated TFU reach rates between 86% and 99% in medical patients. 6,[17][18][19][20] When compared to the average TFU reach rates (58%) of medical patients who did not receive face-to-face meeting interventions at the Johns Hopkins Hospital, 6 the baseline reach rate for neurosurgical patients was still very high (76.1%) even though face-to-face meetings were not employed. Furthermore, the 76.1% TFU reach rate for the comparison group in this study was higher than the national average TFU reach rate (40%) in the United States 21 and higher than the average TFU reach rate (68%) of a comparison group in a study conducted in an ED setting.…”

Section: Discussionmentioning

confidence: 99%

“…Although the present study did not aim to calculate the specific financial impact of TFU on the neurosurgical ward, several studies within the researchers' organization demonstrated the value of TFU post hospital discharge as a part of a care coordination program. 2,3,4,6,8 Overall, combining acute care and community interventions, the JCHiP program was associated with $113.3 million in cost savings between 2012-2016. 2 Specifically, for the TFU service of the PAL department, 41,700 patients were served since 2013, covering 3 hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies focused on medical patients. 6,7 Rates of telephone outreach were unknown for neurosurgical patients. Also, there were few recent studies linking TFU to subsequent emergency department (ED) visits and 30-day hospital readmissions.…”

Section: Introductionmentioning

confidence: 99%

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Face-to-Face Meetings with Neurosurgical Patients Before Hospital Discharge: Impact on Telephone Outreach, Emergency Department Visits, and Hospital Readmissions

Vergara

Davis

Budhathoki

et al. 2020

Population Health Management

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The Johns Hopkins Community Health Partnerships ( JCHiP) was developed in 2010 within the Johns Hopkins Health Systems. As part of JCHiP, the Patient Access Line call center was created. The average telephone reach rate at The Johns Hopkins Hospital in 2014 was only 53%. In a population of adult neurosurgical patients, this study aimed to: determine the impact of face-to-face meetings with neurosurgical patients before hospital discharge on telephone follow-up (TFU) reach rates, and determine the association between TFU reach rates and subsequent emergency department (ED) visits and hospital readmission rates. This quasi-experimental study used a posttestonly research design with a comparison group. Two adult inpatient neurosurgical units at the Johns Hopkins Hospital were selected as the intervention and comparison groups. A convenience sampling technique was used. Face-to-face meetings pre hospital discharge resulted in a TFU reach rate of 97.7% on the intervention unit while the comparison unit had only a 76.1% TFU reach rate (P < .001). Reached patients had fewer ED visits (7.8%) than not reached patients (17.4%); however, the difference was not statistically significant (P = .138). Reached patients also had fewer hospital readmissions (3.3%) than not reached patients (8.7%); this also was not statistically significant (P = .214). This study demonstrated that face-to-face meetings with neurosurgical patients prior to discharge increased TFU rates. Results were statistically significant. ED visits and hospital readmissions were also reduced in reached patients and the findings were clinically significant.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Face-to-Face Meetings with Neurosurgical Patients Before Hospital Discharge: Impact on Telephone Outreach, Emergency Department Visits, and Hospital Readmissions

Vergara

Davis

Budhathoki

et al. 2020

Population Health Management

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“…A prehospital discharge face-to-face meeting was implemented on the intervention unit. Vergara et al (2017Vergara et al ( , 2020 developed the essential components of a prehospital discharge face-to-face meeting intervention (see Figure 2) using a telephonic case manager (see Figure 3).…”

Section: Intervention Unitmentioning

confidence: 99%

Predictors for Telephone Outreach Post-hospital Discharge

Vergara¹,

Budhathoki²,

Sheridan³

et al. 2021

Professional Case Management

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Several studies demonstrate that nurse-led telephone follow-up (TFU) interventions have the potential to improve patient outcomes (Berkowitz et al., 2018;Woods et al., 2019). Telephone follow-up is an essential component of care coordination and may promote patient safety, increase patient satisfaction, reduce emergency department (ED) visits, and prevent hospital readmissions (Hoyer et al., 2018; The Johns Hopkins Medicine Office of Human Subjects Research and Institutional Review Board determined the study as a quality improvement project (IRB00082881) and was exempted from the full review process.

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The Best Practice for Increasing Telephone Outreach

Vergara

Sullivan

Sheridan

et al. 2018

Professional Case Management

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Purpose of Study: Many hospitals established telephone follow-up (TFU) programs to improve care transitions and reduce hospital readmissions. However, there is a lack of knowledge on how to increase the outreach of TFU programs. This integrative review aims to answer the clinical practice question, “What is the best practice for increasing telephone follow-up reach rates post-hospital discharge?” Primary Practice Setting: The primary setting evaluated in this review was hospital-based phone call programs that are conducting post-hospital discharge TFU. Methodology: In this integrative review, we searched studies published between January 2003 and November 2017. We searched 5 electronic databases including PubMed, EMBASE, CINAHL, Web of Science, and Cochrane. The Johns Hopkins Nursing Evidence-Based Practice model was used to critically analyze and synthesize the selected articles. Results: Nine articles were reviewed, and this study uncovered that pre-hospital face-to-face meeting might increase TFU reach rates. However, most studies calculated reach rates using only frequencies/percentages. This contributed to our low-quality rating on most of the reviewed studies. Implications for Case Management Practice: This review identified that TFU, as a component of a care coordination program, may reduce hospital readmissions and control health care utilization. However, few studies (n = 2) used TFU reach rates as a major study outcome to determine the impact of face-to-face meetings on phone outreach. Therefore, the evidence is limited to inform case management practice to increase phone outreach post-hospital discharge. It is recommended to conduct further research and test different methods that may increase phone outreach.

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Improving Posthospital Discharge Telephone Reach Rates Through Prehospital Discharge Face-to-Face Meetings

Cited by 6 publications

References 11 publications

Face-to-Face Meetings with Neurosurgical Patients Before Hospital Discharge: Impact on Telephone Outreach, Emergency Department Visits, and Hospital Readmissions

Face-to-Face Meetings with Neurosurgical Patients Before Hospital Discharge: Impact on Telephone Outreach, Emergency Department Visits, and Hospital Readmissions

Predictors for Telephone Outreach Post-hospital Discharge

The Best Practice for Increasing Telephone Outreach

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