Effects of a Psychosocial Transitional Care Model on Hospitalizations and Cost of Care for High Utilizers.

Abstract

Evidence of care coordination programs to reduce readmissions is limited. We examined whether a social work transitional care model reduced hospital utilization and costs with a retrospective cohort study conducted from 9/3/2010-8/31/2012. Patients enrolled in the Preventable Admissions Care Team (PACT) program were matched to controls. PACT patients received follow-up from a social worker to address psychosocial strain. PACT reduced thirty-day readmission rate by 34% (p = <0.001), Sixty-day hospitalization rate by 22% (p = 0.004); ninety-day hospitalization rate by 19% (p = 0.006), and but not 180-day hospitalization rate. Inpatient costs thirty days post-index were $2.7 million for PACT patients and $3.6 million for controls.

DOI: 10.1080/00981389.2015.1040141

Cite this paper

@article{Weerahandi2015EffectsOA, title={Effects of a Psychosocial Transitional Care Model on Hospitalizations and Cost of Care for High Utilizers.}, author={Himali Weerahandi and Maria Basso Lipani and Jill Kalman and Eugene A . Sosunov and Claudia Colgan and Susan D Bernstein and Alan J. Moskowitz and Natalia Nickolayevna Egorova}, journal={Social work in health care}, year={2015}, volume={54 6}, pages={485-98} }