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Postdischarge Telephone Followup With Chronic Disease Patients Reduces Hospitalizations, Emergency Department Visits, and Costs

jessievenegas Jessie Venegas — 11/01/2009

Kaiser Permanente

Kaiser Permanente Colorado Region’s (KPCO) chronic care coordination program employs coordinators to provide telephone-based support to patients recently discharged from the hospital or a skilled nursing facility (SNF) and to other high-risk enrollees. Coordinators identify care needs, help individuals develop self-management skills, and ensure access to needed clinical and social services. The program has led to significant reductions in hospitalizations and emergency department (ED) visits, resulting in an estimated $4 million in savings to KPCO. The program has also encouraged more patients to complete their follow up care, improved medication compliance, and yielded high levels of provider and patient/family satisfaction.


Todas

Prevención
Promueve niveles adecuados de entendimiento por parte de la comunidad sobre el valor de la prevención
Detección
Crea registros y sistemas de contacto de pacientes
Tratamiento
Facilita la gestión por procesos , Enfatiza los cuidados de enfermos pluri-patológicos y frágiles , Fomenta sistemas electrónicos de información sanitaria para mejorar la calidad de la atención

None

1/01/2007

Progreso

ESTADOS UNIDOS

Colorado

Colorado

Denver

Denver
Mapa de Prácticas
 

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