DenBleyker, Deborah Effects of the Coordinated Transitional Care (C-TraC) Intervention on Hospital Readmission Rates Among Veterans Enrolled in the Montana Veterans Health Administration. 2023. Radford University, Doctoral Capstone Project. Radford University Scholars' Repository.
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Abstract
Hospital readmissions are a source of physical and economic burden to patients and the healthcare system. Factors such as age, admitting diagnosis, and geographic location increase the patient’s risk for hospital readmission during the transition from hospital to home following an admission for a severe or chronic illness. Implementing the evidence-based, nurse-driven Coordination Transition of Care (C-TraC) intervention has been shown to decrease readmission rates for those identified at high-risk for readmission. A quasi-experimental study design using a pre- and post-intervention comparison was implemented and assessed to determine if the C-TraC intervention would impact hospital readmission rates of veterans identified as high-risk for readmission within 30 days of hospital discharge in the Montana Veterans Healthcare System (MVHS). Pre- and post-implementation MVHS data were collected from the Veteran Administration (VA) Strategic Analytics for Improvement and Learning (SAIL) database. The data were analyzed using a Chi-Square test to evaluate if implementation of the C-TraC intervention post-discharge influenced hospital readmission rates. The results are promising early in the project study (p = .083), but do not show a statistically significant association at p = <0.05. Continued use of the C-TraC intervention in MVHS over an extended period will allow for further evaluation. If the initial data pattern continues, it would follow a trajectory comparable to previous studies, and prove to be statistically significant in reducing readmission rates.
| Item Type: | Doctoral Capstone Project |
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| Subjects: | R Medicine > RT Nursing |
| Divisions: | Radford University > School of Nursing |
| Date Deposited: | 17 Nov 2023 01:06 |
| Last Modified: | 17 Nov 2023 01:06 |
| URI: | http://wagner.radford.edu/id/eprint/1053 |
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