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J Am Geriatr Soc. 2017 Mar;65(3):598-602. doi: 10.1111/jgs.14690. Epub 2016 Dec 29.

Extension for Community Healthcare Outcomes-Care Transitions: Enhancing Geriatric Care Transitions Through a Multidisciplinary Videoconference.

Author information

1
Beth Israel Deaconess Medical Center, Boston, Massachusetts.
2
Harvard Medical School, Boston, Massachusetts.
3
Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts.
4
Massachusetts General Hospital, Boston, Massachusetts.

Abstract

OBJECTIVES:

To examine whether a novel videoconference that connects an interdisciplinary hospital-based team with clinicians at postacute care sites improves interprofessional communication and reduces medication errors.

DESIGN:

Prospective cohort.

SETTING:

One tertiary care medical center and eight postacute care sites.

PARTICIPANTS:

Hospital-based providers (hospitalists, geriatricians, pharmacists, social workers, medical trainees, and subspecialists) and postacute care clinicians.

INTERVENTION:

All patients discharged to eight postacute care sites were discussed in a weekly videoconference.

MEASUREMENT:

Preliminary data including demographic characteristics of the patients discussed, postacute care provider satisfaction survey results, and data on medication errors are reported.

RESULTS:

Over 2 years, 907 patients were discussed; 84.6% were discussed with staff at subacute skilled nursing facilities and the remainder with clinicians at one long-term acute care facility. They had an average hospital length of stay of 6.8 days. Postacute care providers felt that the videoconference enhanced communication and provided much-needed access to information and hospital staff. Of the 106 pharmacy discrepancies identified, 16% involved an omission of a medication.

CONCLUSION:

As increasing numbers of older adults are discharged to postacute care facilities, they face high-risk care transitions. Extension for Community Healthcare Outcomes-Care Transitions (ECHO-CT) facilitates interdisciplinary communication between hospital and postacute care providers, who normally have minimal interaction. Preliminary data suggests that ECHO-CT may improve the transitions of care processes between these sites.

KEYWORDS:

hospital medicine; medication reconciliation; postacute care; readmissions

PMID:
28032896
DOI:
10.1111/jgs.14690
[Indexed for MEDLINE]

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