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Implementation of Home Hospitalization and Early Discharge as an Integrated Care Service: A Ten Years Pragmatic Assessment Cover

Implementation of Home Hospitalization and Early Discharge as an Integrated Care Service: A Ten Years Pragmatic Assessment

Open Access
|May 2018

References

  1. Leff, B, Burton, L, Mader, SL, Naughton, B, Burl, J, Inouye, SK, Greenough, WB, III, Guido, S, Langston, C, Frick, KD, Steinwachs, D and Burton, JR. Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med, 2005; 143: 798808. DOI: 10.7326/0003-4819-143-11-200512060-00008
  2. Caplan, GA, Sulaiman, NS, Mangin, DA, Aimonino, RN, Wilson, AD and Barclay, L. A meta-analysis of “hospital in the home”. Med J Aust, 2012; 197: 512519. DOI: 10.5694/mja12.10480
  3. Cryer, L, Shannon, SB, Van, AM and Leff, B. Costs for ‘hospital at home’ patients were 19 percent lower, with equal or better outcomes compared to similar inpatients. Health Aff (Millwood), 2012; 31: 12371243. 31/6/1237 [pii]. DOI: 10.1377/hlthaff.2011.1132
  4. Jacobs, JM, Hammerman-Rozenberg, R and Stessman, J. Home hospitalization: 15 years of experience. Ann Intern Med, 2006; 144: 456. 144/6/456 [pii].
  5. Jacobs, JM, Cohen, A, Rozengarten, O, Meiller, L, Azoulay, D, Hammerman-Rozenberg, R and Stessman, J. Closure of a home hospital program: impact on hospitalization rates. Arch Gerontol Geriatr, 2007; 45: 179189. S0167-4943(06)00107-5 [pii]. DOI: 10.1016/j.archger.2006.10.009
  6. Montalto, M. The 500-bed hospital that isn’t there: the Victorian Department of Health review of the Hospital in the Home program. Med J Aust, 2010; 193: 598601. mon10237_fm [pii].
  7. Shepperd, S, Iliffe, S, Doll, HA, Clarke, MJ, Kalra, L, Wilson, AD and Goncalves-Bradley, DC. Admission avoidance hospital at home. Cochrane Database Syst Rev, 2016; 9. DOI: 10.1002/14651858.CD007491.pub2
  8. [Anonymous]. Pla de Salut Generalitat de Catalunya 2011–2015; 2015. http://salutweb.gencat.cat/web/.content/home/el_departament/pla_de_salut/documents/arxius/health_plan_english.pdf.
  9. Wagner, EH, Austin, BT and Von, KM. Organizing care for patients with chronic illness. Milbank Q, 1996; 74: 511544. DOI: 10.2307/3350391
  10. Wagner, EH, Austin, BT, Davis, C, Hindmarsh, M, Schaefer, J and Bonomi, A. Improving chronic illness care: translating evidence into action. Health Aff (Millwood), 2001; 20: 6478. DOI: 10.1377/hlthaff.20.6.64
  11. Barberan-Garcia, A, Vogiatzis, I, Solberg, HS, Vilaro, J, Rodriguez, DA, Garasen, HM, Troosters, T, Garcia-Aymerich, J and Roca, J. Effects and barriers to deployment of telehealth wellness programs for chronic patients across 3 European countries. Respir Med, 2014; 108: 628637. S0954-6111(13)00492-7 [pii]. DOI: 10.1016/j.rmed.2013.12.006
  12. Hernandez, C, Alonso, A, Garcia-Aymerich, J, Serra, I, Marti, D, Rodriguez-Roisin, R, Narsavage, G, Carmen, GM and Roca, J. Effectiveness of community-based integrated care in frail COPD patients: a randomised controlled trial. NPJ Prim Care Respir Med, 2015; 25: 15022. [pii]. DOI: 10.1038/npjpcrm.2015.22
  13. Burgos, F, Melia, U, Vallverdú, M, Velickovski, F, Lluch-Ariet, M, Caminal, P and Roca, J. Clinical Decision Support System to Enhance Quality Control of Spirometry using Information and Communication Technologies. JMIR Med Inform, 2014; 2(2): e29. DOI: 10.2196/medinform.3179
  14. Burgos, F, Disdier, C, de Santamaria, E, Galdiz, B, Roger, N, Rivera, ML, Hervas, R, Duran-Tauleria, E, Garcia-Aymerich, J and Roca, J. Telemedicine enhances quality of forced spirometry in primary care. Eur Respir J, 2012; 39: 13131318. [pii]. DOI: 10.1183/09031936.00168010
  15. Hernandez, C. Deployment of Integrated Care Services for Chronic Patients Supported by Information and Communication Technologies. The NEXES project. Doctoral Thesis. 2015; University of Barcelona [dissertation].
  16. Hernandez, C, Alonso, A, Garcia-Aymerich, J, Grimsmo, A, Vontetsianos, T, Garcia, CF, Altes, AG, Vogiatzis, I, Garasen, H, Pellise, L, Wienhofen, L, Cano, I, Meya, M, Moharra, M, Martinez, JI, Escarrabill, J and Roca, J. Integrated care services: lessons learned from the deployment of the NEXES project. Int J Integr Care, 2015; 15: e006. DOI: 10.5334/ijic.2018
  17. Casas, A, Troosters, T, Garcia-Aymerich, J, Roca, J, Hernandez, C, Alonso, A, del, PF, de, TP, Anto, JM, Rodriguez-Roisin, R and Decramer, M. Integrated care prevents hospitalisations for exacerbations in COPD patients. Eur Respir J, 2006; 28: 123130. DOI: 10.1183/09031936.06.00063205
  18. Garcia-Aymerich, J, Hernandez, C, Alonso, A, Casas, A, Rodriguez-Roisin, R, Anto, JM and Roca, J. Effects of an integrated care intervention on risk factors of COPD readmission. Respir Med, 2007; 101: 14621469. DOI: 10.1016/j.rmed.2007.01.012
  19. Hernandez, C, Casas, A, Escarrabill, J, Alonso, J, Puig-Junoy, J, Farrero, E, Vilagut, G, Collvinent, B, Rodriguez-Roisin, R and Roca, J. Home hospitalisation of exacerbated chronic obstructive pulmonary disease patients. Eur Respir J, 2003; 21: 5867. DOI: 10.1183/09031936.03.00015603
  20. Patsopoulos, NA. A pragmatic view on pragmatic trials. Dialogues Clin Neurosci, 2011; 13: 217224.
  21. Leff, B and Montalto, M. Home hospital-toward a tighter definition. J Am Geriatr Soc, 2004; 52: 2141. DOI: 10.1111/j.1532-5415.2004.52579_1.x
  22. Shepperd, S, Doll, H, Angus, RM, Clarke, MJ, Iliffe, S, Kalra, L, Ricauda, NA and Wilson, A. Hospital at home admission avoidance (Review); 2011.
  23. Goncalves-Bradley, DC, Iliffe, S, Doll, HA, Broad, J, Gladman, J, Langhorne, P, Richards, SH and Shepperd, S. Early discharge hospital at home. Cochrane Database Syst Rev, 2017; 6. DOI: 10.1002/14651858.CD000356.pub4
  24. Fetter, RB, Shin, Y, Freeman, JL, Averill, RF and Thompson, JD. Case mix definition by diagnosis-related groups. Med Care, 1980; 18: iii,1iii,53.
  25. Cano, I, Alonso, A, Hernandez, C, Burgos, F, Barberan-Garcia, A, Roldan, J and Roca, J. An adaptive case management system to support integrated care services: Lessons learned from the NEXES project. J Biomed Inform, 2015; 55: 1122. S1532-0464(15)00045-3 [pii]. DOI: 10.1016/j.jbi.2015.02.011
  26. Roca, J. The burden of chronic disorders on hospital admissions prompts the need for new modalities of care: a cross-sectional analysis in a tertiary hospital. QJM, 2009; 102: 193202. DOI: 10.1093/qjmed/hcn172
  27. Mahoney, FI and Barthel, DW. Functional evaluation: The Barthel Index. Md State Med J, 2013 [1965]; 14: 6165.
  28. Vilagut, G, Ferrer, M, Rajmil, L, Rebollo, P, Permanyer-Miralda, G, Quintana, JM, Santed, R, Valderas, JM, Ribera, A, Domingo-Salvany, A and Alonso, J. The Spanish version of the Short Form 36 Health Survey: a decade of experience and new developments. Gac Sanit, 2005; 19: 135150. 13074370 [pii].
  29. WHO. Adherence to Long-term Therapies. Evidence for Action; 2003. http://www.who.int/chp/knowledge/publications/adherence_report/en/index.html.
  30. Mompart, A, Medina, A, Guillén, M, Alcañiz, M and Brugulat, P. Características metodológicas de la Encuesta de Salud de Cataluña 2006. Medicina Clínica, 2011; 137(2): 38. http://www.sciencedirect.com/science/article/pii/S0025775311700215. DOI: 10.1016/S0025-7753(11)70021-5
  31. Kidholm, K, Ekeland, AG, Jensen, LK, Rasmussen, J, Pedersen, CD, Bowes, A, Flottorp, SA and Bech, M. A model for assessment of telemedicine applications: MAST. Int J Technol Assess Health Care, 2012; 28: 4451. [pii]. DOI: 10.1017/S0266462311000638
  32. Coleman, EA. Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs. J Am Geriatr Soc, 2003; 51: 549555. jgs51185 [pii].
  33. Coleman, EA, Parry, C, Chalmers, S and Min, SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med, 2006; 166: 18221828. 166/17/1822 [pii]. DOI: 10.1001/archinte.166.17.1822
  34. Coleman, EA, Parry, C, Chalmers, SA, Chugh, A and Mahoney, E. The central role of performance measurement in improving the quality of transitional care. Home Health Care Serv Q, 2007; 26: 93104. DOI: 10.1300/J027v26n04_07
  35. Naylor, MD, Brooten, D, Campbell, R, Jacobsen, BS, Mezey, MD, Pauly, MV and Schwartz, JS. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA, 1999; 281: 613620. joc80991 [pii].
  36. Naylor, MD. Transitional care for older adults: a cost-effective model. LDI Issue Brief, 2004; 9: 14.
  37. Naylor, MD, Aiken, LH, Kurtzman, ET, Olds, DM and Hirschman, KB. The care span: The importance of transitional care in achieving health reform. Health Aff (Millwood), 2011; 30: 746754. 30/4/746 [pii]. DOI: 10.1377/hlthaff.2011.0041
  38. D’Souza, S and Guptha, S. Preventing admission of older people to hospital. BMJ, 2013; 346. DOI: 10.1136/bmj.f3186
  39. Hansen, LO, Young, RS, Hinami, K, Leung, A and Williams, MV. Interventions to reduce 30-day rehospitalization: a systematic review. Ann Intern Med, 2011; 155: 520528. 155/8/520 [pii]. DOI: 10.7326/0003-4819-155-8-201110180-00008
  40. Rennke, S, Nguyen, OK, Shoeb, MH, Magan, Y, Wachter, RM and Ranji, SR. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med, 2013; 158: 433440. 1656449 [pii]. DOI: 10.7326/0003-4819-158-5-201303051-00011
  41. Buurman, BM. Transitional care interventions prevent hospital readmissions for adults with chronic illnesses. Health Aff (Millwood), 2014; 33: 15311539. 33/9/1531 [pii]. DOI: 10.1377/hlthaff.2014.0160
  42. Frenk, J, Chen, L, Bhutta, ZA, Cohen, J, Crisp, N, Evans, T, Fineberg, H, Garcia, P, Ke, Y, Kelley, P, Kistnasamy, B, Meleis, A, Naylor, D, Pablos-Mendez, A, Reddy, S, Scrimshaw, S, Sepulveda, J, Serwadda, D and Zurayk, H. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet, 2010; 376: 19231958. [pii]. DOI: 10.1016/S0140-6736(10)61854-5
  43. Auerbach, AD, Patel, MS, Metlay, JP, Schnipper, JL, Williams, MV, Robinson, EJ, Kripalani, S and Lindenauer, PK. The Hospital Medicine Reengineering Network (HOMERuN): a learning organization focused on improving hospital care. Acad Med, 2014; 89: 415420. DOI: 10.1097/ACM.0000000000000139
  44. Peters, DH, Adam, T, Alonge, O, Agyepong, IA and Tran, N. Implementation research: what it is and how to do it. BMJ, 2013; 347: f6753.
  45. Duenas-Espin, I, Vela, E, Pauws, S, Bescos, C, Cano, I, Cleries, M, Contel, JC, de Manuel, KE, Garcia-Aymerich, J, Gomez-Cabrero, D, Kaye, R, Lahr, MM, Lluch-Ariet, M, Moharra, M, Monterde, D, Mora, J, Nalin, M, Pavlickova, A, Piera, J, Ponce, S, Santaeugenia, S, Schonenberg, H, Stork, S, Tegner, J, Velickovski, F, Westerteicher, C and Roca, J. Proposals for enhanced health risk assessment and stratification in an integrated care scenario. BMJ Open, 2016; 6: e010301. bmjopen-2015-010301 [pii]. DOI: 10.1136/bmjopen-2015-010301
  46. Siu, AL, Spragens, LH, Inouye, SK, Morrison, RS and Leff, B. The ironic business case for chronic care in the acute care setting. Health Aff (Millwood), 2009; 28: 113125. 28/1/113 [pii]. DOI: 10.1377/hlthaff.28.1.113
  47. Sherman, RE, Anderson, SA, Dal Pan, GJ, Gray, GW, Gross, T, Hunter, NL, LaVange, L, Marinac-Dabic, D, Marks, PW, Robb, MA, Shuren, J, Temple, R, Woodcock, J, Yue, LQ and Califf, RM. Real-World Evidence – What Is It and What Can It Tell Us? N Engl J Med, 2016; 375: 22932297. DOI: 10.1056/NEJMsb1609216
DOI: https://doi.org/10.5334/ijic.3431 | Journal eISSN: 1568-4156
Language: English
Submitted on: Sep 18, 2017
Accepted on: Apr 18, 2018
Published on: May 16, 2018
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2018 Carme Hernández, Jesus Aibar, Nuria Seijas, Imma Puig, Albert Alonso, Judith Garcia-Aymerich, Josep Roca, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.