Measuring Processes of Integrated Care for Hospital to Home Transitions

BACKGROUND: Integrated care is a promising approach to improve transitions from hospital for older adults. Measures of integrated care tend to be survey-based or outcomes focused. This study determined the feasibility of using hospital chart data to measure integrated processes of care. METHODS: Thi...

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Autores principales: Brown, Cara L., Menec, Verena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8086722/
https://www.ncbi.nlm.nih.gov/pubmed/33981189
http://dx.doi.org/10.5334/ijic.5552
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author Brown, Cara L.
Menec, Verena
author_facet Brown, Cara L.
Menec, Verena
author_sort Brown, Cara L.
collection PubMed
description BACKGROUND: Integrated care is a promising approach to improve transitions from hospital for older adults. Measures of integrated care tend to be survey-based or outcomes focused. This study determined the feasibility of using hospital chart data to measure integrated processes of care. METHODS: This paper reports on two objectives: 1) the development of an integrated care transition framework and associated features of care; 2) a pilot study to test if the features could be applied to 214 hospital patient charts. RESULTS: Twenty-four features were tested, and fifteen features could be reliably measured using chart review. Of these, the percent of patients classified as receiving integrated care varied widely across the items, from 0.05% to 84.1%. DISCUSSION: The framework presented in this paper can guide measurement of system and clinical delivery of integrated care transitions. In combination with other tools, chart review can provide perspective on day-to-day care delivery not otherwise accessible, and highlight areas requiring practice change. CONCLUSION: Multiple measurement perspectives are needed to improve our understanding of how integrated care is being implemented. While chart review cannot address the full breadth of integrated care, it can help understand how processes of care are being implemented in routine daily care.
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spelling pubmed-80867222021-05-11 Measuring Processes of Integrated Care for Hospital to Home Transitions Brown, Cara L. Menec, Verena Int J Integr Care Research and Theory BACKGROUND: Integrated care is a promising approach to improve transitions from hospital for older adults. Measures of integrated care tend to be survey-based or outcomes focused. This study determined the feasibility of using hospital chart data to measure integrated processes of care. METHODS: This paper reports on two objectives: 1) the development of an integrated care transition framework and associated features of care; 2) a pilot study to test if the features could be applied to 214 hospital patient charts. RESULTS: Twenty-four features were tested, and fifteen features could be reliably measured using chart review. Of these, the percent of patients classified as receiving integrated care varied widely across the items, from 0.05% to 84.1%. DISCUSSION: The framework presented in this paper can guide measurement of system and clinical delivery of integrated care transitions. In combination with other tools, chart review can provide perspective on day-to-day care delivery not otherwise accessible, and highlight areas requiring practice change. CONCLUSION: Multiple measurement perspectives are needed to improve our understanding of how integrated care is being implemented. While chart review cannot address the full breadth of integrated care, it can help understand how processes of care are being implemented in routine daily care. Ubiquity Press 2021-04-26 /pmc/articles/PMC8086722/ /pubmed/33981189 http://dx.doi.org/10.5334/ijic.5552 Text en Copyright: © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Research and Theory
Brown, Cara L.
Menec, Verena
Measuring Processes of Integrated Care for Hospital to Home Transitions
title Measuring Processes of Integrated Care for Hospital to Home Transitions
title_full Measuring Processes of Integrated Care for Hospital to Home Transitions
title_fullStr Measuring Processes of Integrated Care for Hospital to Home Transitions
title_full_unstemmed Measuring Processes of Integrated Care for Hospital to Home Transitions
title_short Measuring Processes of Integrated Care for Hospital to Home Transitions
title_sort measuring processes of integrated care for hospital to home transitions
topic Research and Theory
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8086722/
https://www.ncbi.nlm.nih.gov/pubmed/33981189
http://dx.doi.org/10.5334/ijic.5552
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