Berry et al. Care Coordination Tiering model to Need for primary or follow-up Of 373 patients, intervention * 201327 USA Tiering Assessment determine need for care (yes/no) led to a reduced with scores given for referral. Information hospitalisation by more than Is referral primarily for number of chronic provided to case 50% at 24-months paediatric, behavioural conditions involved coordinators and liaison health, obstetrics, and care needs clinicians who work with or regional care Of 373 patients, unplanned inpatient care team. For charges arising from care Number of severe or chronic patients with multiple coordination of emergency conditions based on body chronic conditions across department and inpatient systems diverse inpatient units hospitalisations decreased Selection of complexity by 51% within 12 months applying to patient age, – and a cumulative 64% frailty, cognitive impairment, within 24 months concerns with ability to meet patient’s needs, difficulty with prescribed treatment, frequent hospitalisations, frequent visits to urgent care, high level of resource use, inadequate social support, interpreter needed, early complications, teen or pregnancy Authors Form (text type) of Structure (ordering of Summary of the evidence Findings Quality (year), documentation information) of for content of information Appraisal* country documentation
Berry et al. 201327 USA Care Coordination Tiering Assessment with scores given for number of chronic conditions involved and care needs Tiering model to determine need for referral. Information provided to case coordinators and liaison clinicians who work with inpatient care team. For patients with multiple chronic conditions across diverse inpatient units Need for primary or follow-up care (yes/no) Is referral primarily for paediatric, behavioural health, obstetrics, or regional care Number of severe or chronic conditions based on body systems Selection of complexity applying to patient – age, frailty, cognitive impairment, concerns with ability to meet patient’s needs, with prescribed treatment, frequent hospitalisations, frequent visits to urgent care, high level of resource use, inadequate social support, interpreter needed, early complications, teen or pregnancy Of 373 patients, intervention led to a reduced hospitalisation by more than 50% at 24-months Of 373 patients, unplanned charges arising from care coordination of emergency department and inpatient hospitalisations decreased by 51% within 12 months and a cumulative 64% within 24 months * Authors (year), country Form (text type) of documentation Structure (ordering of information) of documentation Summary of the evidence for content of information Findings Quality Appraisal* difficulty