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Discharge information and support for veterans Receiving Outpatient Care in the Emergency Department: study design and methods.

Publication ,  Journal Article
Hastings, SN; Betts, E; Schmader, KE; Weinberger, M; Van Houtven, CH; Hendrix, CC; Coffman, CJ; Stechuchak, KM; Weiner, M; Morris, K ...
Published in: Contemp Clin Trials
November 2014

BACKGROUND: An explicit goal of Patient Aligned Care Teams (PACTs) within the Veterans Health Administration is to promote continuity of care in primary care clinics and thereby reduce Emergency Department (ED) utilization; however, there has been little research to guide PACTs on how to accomplish this. OBJECTIVES: The overall goal of this study is to examine the impact of a primary care-based nurse telephone support program [DISPO ED] on Veterans treated and released from the ED who are at high risk for repeat visits. METHODS: This study is a two group randomized, controlled trial to evaluate DISPO ED for Veterans treated and released from the ED who are at high risk for repeat visits. We define high risk as those who have had an ED visit or hospitalization during the 6 month period before the index ED visit and have ≥2 chronic conditions. Veterans are randomized to nurse telephone support or usual care. The primary outcome is repeat ED use within 30 days; secondary outcomes are patient satisfaction with care and total costs. DISCUSSION: The results of this randomized, controlled trial with an Effectiveness-Implementation Type I Hybrid design will be directly relevant to the care of more than 500,000 high risk patients seen in Veterans' Affairs Medical Center (VAMC) EDs annually. Results will also be informative to health systems outside VA aiming to reduce ED use through accountable care organizations.

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Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

November 2014

Volume

39

Issue

2

Start / End Page

342 / 350

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Risk Factors
  • Research Design
  • Public Health
  • Patient Satisfaction
  • Patient Discharge
  • Patient Care Team
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hastings, S. N., Betts, E., Schmader, K. E., Weinberger, M., Van Houtven, C. H., Hendrix, C. C., … Oddone, E. Z. (2014). Discharge information and support for veterans Receiving Outpatient Care in the Emergency Department: study design and methods. Contemp Clin Trials, 39(2), 342–350. https://doi.org/10.1016/j.cct.2014.10.008
Hastings, Susan Nicole, Elizabeth Betts, Kenneth E. Schmader, Morris Weinberger, Courtney Harold Van Houtven, Cristina C. Hendrix, Cynthia J. Coffman, et al. “Discharge information and support for veterans Receiving Outpatient Care in the Emergency Department: study design and methods.Contemp Clin Trials 39, no. 2 (November 2014): 342–50. https://doi.org/10.1016/j.cct.2014.10.008.
Hastings SN, Betts E, Schmader KE, Weinberger M, Van Houtven CH, Hendrix CC, et al. Discharge information and support for veterans Receiving Outpatient Care in the Emergency Department: study design and methods. Contemp Clin Trials. 2014 Nov;39(2):342–50.
Hastings, Susan Nicole, et al. “Discharge information and support for veterans Receiving Outpatient Care in the Emergency Department: study design and methods.Contemp Clin Trials, vol. 39, no. 2, Nov. 2014, pp. 342–50. Pubmed, doi:10.1016/j.cct.2014.10.008.
Hastings SN, Betts E, Schmader KE, Weinberger M, Van Houtven CH, Hendrix CC, Coffman CJ, Stechuchak KM, Weiner M, Morris K, Kessler C, Oddone EZ. Discharge information and support for veterans Receiving Outpatient Care in the Emergency Department: study design and methods. Contemp Clin Trials. 2014 Nov;39(2):342–350.
Journal cover image

Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

November 2014

Volume

39

Issue

2

Start / End Page

342 / 350

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Risk Factors
  • Research Design
  • Public Health
  • Patient Satisfaction
  • Patient Discharge
  • Patient Care Team
  • Male