Brian Chan|Lee Goldman|Urmimala Sarkar|Michelle Schneidermann|Eric Kessell|David Guzman|Jeff Critchfield|Margot Kushel
The Effect of a Care Transition Intervention on the Patient Experience of Older Multi-Lingual Adults in the Safety Net: Results of a Randomized Controlled Trial
San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco
hospital consumer assessment healthcare providers systems hcahps care transitions measure ctm3 scores patient experience measures used determine hospital valuebased purchasing reimbursement interventions improve 30day readmissions met mixed results less known potential improve patient experience among older ethnically linguistically diverse adults receiving care safetynet hospitals study assessed effect nurseled hospitalbased care transition intervention dischargerelated patient experience older multilingual population adults hospitalized safetynet hospitalwe randomized 700 inpatients aged 55 older academic urban safetynet hospital addition usual care intervention participants received inpatient visits languageconcordant study nurse postdischarge phone calls languageconcordant nurse practitioner reinforce care plan address acute complaints measured hcahps nursing medication discharge communication domain scores ctm3 scores 30 days hospital dischargeof 685 participants survived 30 days 90 n 616 completed followup interviews mean age 662 years half 542 participants cognitive impairment 338 moderate severe depression majority 621 interviews conducted english 233 conducted chinese 146 spanish study nurses spent average 157 min intervention participants intervention usual care participants ctm3 scores 805 vs 785 p 018 hcahps discharge communication domain scores 748 vs 687 p 011 differ hcahps scores medication 445 vs 531 p 013 nursing domains 679 vs 649 p 043 stratified language significant differences seenan inpatient standalone transitionofcare intervention improve patient discharge experience older multilingual cognitively impaired populations may require higherintensity interventions posthospitalization improve discharge experience outcomes