Transitional Care Management Quality Improvement Methods That Reduced Readmissions in a Rural, Primary Care System

Conclusions:
Our approach led to rapid, sustained scaling of TCM calls and visits in a rural primary care group. Patients who received TCM calls and visits had significantly fewer readmissions. Training of new staff, including PCPs, is required for sustainability. Future research is warranted to increase adoption and evaluate additional outcomes including mortality rates, patient satisfaction, and health care economics.

Source: Journal of the American Board of Family Medicine - May 31, 2022 Category: Primary Care Authors: Burdick, T. E., Moran, D. S., Oliver, B. J., Eilertsen, A., Raymond, J., Hort, S., Bartels, S. J. Tags: Original Research Source Type: research