Ochsner Transitional Care Calls
Hospital Discharge to Home: Nurse Transitional Care Calls
- To determine whether the Ochsner Transitional Care Calls (TCC) intervention is effective at reducing resource utilization (hospitalization readmission rates; emergency department use) and generating cost savings
- To compare processes of care (e.g., timely follow-up in ambulatory care settings, medication reconciliation, and transitional care management billing code use) among patients discharged to home who receive the TCC intervention versus patients who do not receive TCC.
- To conduct a cost-effectiveness analysis of TCC for reducing hospital readmissions and emergency department use among patients discharged to home.
Eboni G. Price-Haywood, MD, MPH, FACP
Nathan J. Markward, PhD, MPH
Qingyang Luo, PhD
Jeffrey Burton, PhD
System Administrative Sponsor:
Mark Green, MBA