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Program evaluation of a recuperative care pilot project

OBJECTIVE: A program evaluation to demonstrate the feasibility of a recuperative care pilot project to address the needs of unhoused individuals. DESIGN: The study is a descriptive postprogram evaluation. SAMPLE: A total of 73 referrals were made to the project with 23 admissions. MEASURE: Data rega...

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Autores principales: Lawson, Lauren Valk, Bowie, Bonnie, Neufeld, Melanie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7983925/
https://www.ncbi.nlm.nih.gov/pubmed/33190328
http://dx.doi.org/10.1111/phn.12834
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author Lawson, Lauren Valk
Bowie, Bonnie
Neufeld, Melanie
author_facet Lawson, Lauren Valk
Bowie, Bonnie
Neufeld, Melanie
author_sort Lawson, Lauren Valk
collection PubMed
description OBJECTIVE: A program evaluation to demonstrate the feasibility of a recuperative care pilot project to address the needs of unhoused individuals. DESIGN: The study is a descriptive postprogram evaluation. SAMPLE: A total of 73 referrals were made to the project with 23 admissions. MEASURE: Data regarding number and type of referrals for admission, cost of respite care per guest and per day, hospital costs avoided, referrals to community services, and discharge destination were collected. INTERVENTION: A case management care model was used. The project staff included a public health nurse and an outreach worker. RESULTS: One local hospital accounted for 65% of all admissions. Admitting diagnoses were abscess/wound care (44%) followed by postsurgery recovery (17%). Housing resources (65%) was a common referral with 22% of guests discharged to stable housing. Actual length of stay exceeded the planned length by an average of 24 days. Total cost per guest per day was $157.45 which is an estimated savings to referring acute care facilities of between $18,000 and $48,000 per day. CONCLUSIONS: The project demonstrated an ability to provide unhoused individuals a place to recuperate following hospitalization in a cost‐effective manner. Challenges and recommendations of the program going forward were identified.
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spelling pubmed-79839252021-03-24 Program evaluation of a recuperative care pilot project Lawson, Lauren Valk Bowie, Bonnie Neufeld, Melanie Public Health Nurs POPULATIONS AT RISK ACROSS THE LIFESPAN OBJECTIVE: A program evaluation to demonstrate the feasibility of a recuperative care pilot project to address the needs of unhoused individuals. DESIGN: The study is a descriptive postprogram evaluation. SAMPLE: A total of 73 referrals were made to the project with 23 admissions. MEASURE: Data regarding number and type of referrals for admission, cost of respite care per guest and per day, hospital costs avoided, referrals to community services, and discharge destination were collected. INTERVENTION: A case management care model was used. The project staff included a public health nurse and an outreach worker. RESULTS: One local hospital accounted for 65% of all admissions. Admitting diagnoses were abscess/wound care (44%) followed by postsurgery recovery (17%). Housing resources (65%) was a common referral with 22% of guests discharged to stable housing. Actual length of stay exceeded the planned length by an average of 24 days. Total cost per guest per day was $157.45 which is an estimated savings to referring acute care facilities of between $18,000 and $48,000 per day. CONCLUSIONS: The project demonstrated an ability to provide unhoused individuals a place to recuperate following hospitalization in a cost‐effective manner. Challenges and recommendations of the program going forward were identified. John Wiley and Sons Inc. 2020-11-15 2021 /pmc/articles/PMC7983925/ /pubmed/33190328 http://dx.doi.org/10.1111/phn.12834 Text en © 2020 The Authors. Public Health Nursing published by Wiley Periodicals LLC This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle POPULATIONS AT RISK ACROSS THE LIFESPAN
Lawson, Lauren Valk
Bowie, Bonnie
Neufeld, Melanie
Program evaluation of a recuperative care pilot project
title Program evaluation of a recuperative care pilot project
title_full Program evaluation of a recuperative care pilot project
title_fullStr Program evaluation of a recuperative care pilot project
title_full_unstemmed Program evaluation of a recuperative care pilot project
title_short Program evaluation of a recuperative care pilot project
title_sort program evaluation of a recuperative care pilot project
topic POPULATIONS AT RISK ACROSS THE LIFESPAN
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7983925/
https://www.ncbi.nlm.nih.gov/pubmed/33190328
http://dx.doi.org/10.1111/phn.12834
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