Randomized Trial of Population-Based Clinical Decision Support to Facilitate Care Transitions.

Published

Journal Article

Medicaid beneficiaries in 6 North Carolina counties were randomly assigned to 1 of 3 clinical decision support (CDS) care transition strategies: (1) usual care (Control), (2) CDS messaging to patients and their medical homes (Reports), or (3) CDS messaging to patients, their medical homes, and their care managers (Reports+). We included 7146 Medicaid patients and evaluated transitions from specialist visit, ER and hospital encounters back to the patient's medical home. Patients enrolled in Medicare and Medicaid were not eligible. The number of care manager contacts was greater for patients in the Reports+ Group than in the Control Group. However, there were no treatment-related differences in emergency department (ED) encounter rates, or in the secondary outcomes of outpatient and hospital encounter rates and medical costs. Study monitors found study intervention documentation in approximately 60% of patient charts. These results highlight the importance of effectively integrating information interventions into healthcare delivery workflow systems.

Full Text

Duke Authors

Cited Authors

  • Eisenstein, EL; Willis, JM; Edwards, R; Anstrom, KJ; Kawamoto, K; Fiol, GD; Johnson, FS; Lobach, DF

Published Date

  • 2017

Published In

Volume / Issue

  • 234 /

Start / End Page

  • 98 - 103

PubMed ID

  • 28186023

Pubmed Central ID

  • 28186023

Electronic International Standard Serial Number (EISSN)

  • 1879-8365

Language

  • eng

Conference Location

  • Netherlands