Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
CME
Outcomes
Research
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
 
JCOM
BACK ISSUE articles are $15 each.
 
International credit cards NOT accepted.



JCOM Paid Subscribers
LOG IN
user name:
password:
 
Forgot password?

JCOM Abstract


J Clin Outcomes Manage 
2013 Sep;20(9):408-418
Development and preliminary evaluation of an innovative advanced chronic disease care model
Hoefer DR, Johnson SK, Bender M

Abstract Objective: To describe and evaluate Sharp’s Transitions program as a model of caring for the advanced heart failure (HF) population. Methods: Sharp HealthCare developed an innovative advanced chronic disease model of care that addresses patient, family, and caregiver needs throughout the progression of their illness. Advanced HF patients enrolled in Transitions between January 2008 and December 2010 were evaluated (n = 155). Patient demographic data, hospital and emergency department (ED) utilization, and total costs of care were obtained from electronic medical records to determine acute care utilization and total care costs for patients before and after enrollment. Results: Mean length of stay in Transitions was 165 days. 74% transferred into hospice care upon discharge. Within-group analysis showed a significant decrease in hospitalization rate after enrollment in Transitions, from 32% to 17%. There was also a significant decrease in ED visit rate after enrollment, from 57% to 31%. The average total cost of care decreased significantly during enrollment ($73,025 vs. $46,588). Conclusions: Aligned with the goals of comprehensive care management, Transitions provides an innovative model of health care delivery for the advanced chronic disease population that may be replicable across diverse chronic disease patient populations and health care organizations.

Reports from the Field

Search the Turner White index to find abstracts of articles published in JCOM.





New issues are posted one month following publication of the printed journal.



View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999



Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2014, Turner White Communications
Updated 1/20/14 • jdw