Transitional Care

Exploring the Concept of Medication Discrepancy Within the Context of Patient Safety to Improve Population Health

“…A broader approach to reform in healthcare policy would include the coordination of improved models for patient/family education and smoother care transitions to prepare patients/ families for self-management of medication, supporting a healthier population and community. [42][43][44] Such approaches have been shown to improve patient outcomes and reduce healthcare costs. 45,46 CONCLUSION Medication discrepancy is a concept that is becoming more evident in the literature and has been recognized as a type of barrier to safe medication management and optimal patient outcomes.…”

Correlates of keeping post-discharge appointments at a transitional care center: Implications for medical care disparities

“…[8] Still, more needs to be characterized regarding the role of insurance status and vulnerable patients' and keeping initial appointments at TC programs. [7][8][9][10][11][12][13] Our finding that white patients with private or public insurance exhibited very different likelihoods of keeping the first appointment than Black patients who were also insured. This accentuates differences between advantaged and disadvantaged populations that are likely linked with the social determinants of health.…”

“…[6] Over the past decade, evidence has shown that TC programs encompass continuity via multidisciplinary and interagency care coordination team activities, demonstrating initial benefits for decreased health care costs, reduced RH and ER visits, and increased patient satisfaction. [7][8][9][10][11][12][13] Coordinating care through effective transitions thereby ensures care continuity for the most vulnerable patients afflicted with multiple chronic diseases. [10] Recently, TC Management has been recognized as a reimbursable service in the 2013 Medicare Physician Fee Schedule.…”

“…[7][8][9][10][11][12][13] Coordinating care through effective transitions thereby ensures care continuity for the most vulnerable patients afflicted with multiple chronic diseases. [10] Recently, TC Management has been recognized as a reimbursable service in the 2013 Medicare Physician Fee Schedule. [14] In 2011, TC leading researchers reviewed 21 randomized controlled trials (RCT) on TC interventions and found positive effects on RH in nine programs within the review.…”

Do Collaborative Case Management Models Decrease Hospital Readmission Rates Among High-Risk Patients?

“…Errors often are due to poor communication, incomplete transfer of information, and inadequate patient and family education. Cultural background, language barriers, and health literacy also affect communication (Naylor & Keating, 2008). Errors preceding a readmission are referred to a "failed discharge."…”