The American journal of managed care
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Randomized Controlled Trial
Pharmacists and transitions of care from emergency department to home.
To determine the impact of a pharmacist-led telephone outreach program among patients discharged from the emergency department (ED) to home. ⋯ A pharmacist-led telephone outreach program conducted after ED discharge was not associated with a change in health care utilization.
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To assess the feasibility of scaling advanced care at home (ACAH) (otherwise known as hospital at home) within an integrated health care delivery system. ⋯ In an integrated delivery system, ACAH care can be scaled and can create hospital capacity. However, our data were inconclusive regarding quality throughout scaling due to the small effective sample size, necessitating replication in a larger prospective study with adequate power/precision.
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To evaluate the effect of a statewide multipayer patient-centered medical home (PCMH) demonstration on patients consistently within the highest ranks of health services expenditure across Maryland. ⋯ Relative to routine primary care, the PCMH model significantly reduces the probability that CHPs remain in this expensive category and enhances continuity of care.
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Observational Study
Development and validation of the COVID-19 Hospitalized Patient Deterioration Index.
To develop a COVID-19-specific deterioration index for hospitalized patients: the COVID Hospitalized Patient Deterioration Index (COVID-HDI). This index builds on the proprietary Epic Deterioration Index, which was not developed for predicting respiratory deterioration events among patients with COVID-19. ⋯ COVID-HDI is a parsimonious, well-calibrated, and accurate model that may support clinical decision-making around discharge and escalation of care.