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2 results on '"David B. Hellmann"'

1. Telephone calls to patients after discharge from the hospital: an important part of transitions of care

Author

Janet D. Record, Ashwini Niranjan-Azadi, Colleen Christmas, Laura A. Hanyok, Cynthia S. Rand, David B. Hellmann, and Roy C. Ziegelstein

Subjects
patient-centered care, graduate medical education, post-discharge telephone call, care transitions, Special aspects of education, LC8-6691, Medicine (General), R5-920
Abstract

Background: Teaching interns patient-centered communication skills, including making structured telephone calls to patients following discharge, may improve transitions of care. Objective: To explore associations between a patient-centered care (PCC) curriculum and patients’ perspectives of the quality of transitional care. Methods: We implemented a novel PCC curriculum on one of four inpatient general medicine resident teaching teams in which interns make post-discharge telephone calls to patients, contact outpatient providers, perform medication adherence reviews, and engage in patient-centered discharge planning. Between July and November of 2011, we conducted telephone surveys of patients from all four teaching teams within 30 days of discharge. In addition to asking if patients received a call from their hospital physician (intern), we administered the 3-Item Care Transitions Measure (CTM-3), which assesses patients’ perceptions of preparedness for the transition from hospital to home (possible score range 0–100). Results: The CTM-3 scores (mean±SD) of PCC team patients and standard team patients were not significantly different (82.4±17.3 vs. 79.6±17.6, p=0.53). However, regardless of team assignment, patients who reported receiving a post-discharge telephone call had significantly higher CTM-3 scores than those who did not (84.7±16.0 vs. 78.2±17.4, p=0.03). Interns exposed to the PCC curriculum called their patients after discharge more often than interns never exposed (OR=2.78, 95% CI [1.25, 6.18], p=0.013). Conclusions: The post-discharge telephone call, one element of PCC, was associated with higher CTM-3 scores – which, in turn, have been shown to lessen patients’ risk of emergency department visits within 30 days of discharge.

Published
2015
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2. Telephone calls to patients after discharge from the hospital: an important part of transitions of care

Author

Roy C. Ziegelstein, Colleen Christmas, Ashwini Niranjan-Azadi, David B. Hellmann, Janet D. Record, Cynthia S. Rand, Laura A. Hanyok, and Picker Institute

Subjects
Male, medicine.medical_specialty, Short Communication, General Practice, education, care transitions, Graduate medical education, patient-centered care, Education, Medication Adherence, Patient satisfaction, medicine, Humans, Transitional care, Curriculum, lcsh:LC8-6691, lcsh:R5-920, lcsh:Special aspects of education, business.industry, Telephone call, Communication, Internship and Residency, General Medicine, Emergency department, graduate medical education, After discharge, Continuity of Patient Care, Patient Discharge, Telephone, Patient Satisfaction, Family medicine, Preparedness, Female, post-discharge telephone call, business, lcsh:Medicine (General), Patient-Centered Care, Graduate Medical Education, Post-Discharge Telephone Call, Care Transitions
Abstract

Background : Teaching interns patient-centered communication skills, including making structured telephone calls to patients following discharge, may improve transitions of care. Objective : To explore associations between a patient-centered care (PCC) curriculum and patients’ perspectives of the quality of transitional care. Methods : We implemented a novel PCC curriculum on one of four inpatient general medicine resident teaching teams in which interns make post-discharge telephone calls to patients, contact outpatient providers, perform medication adherence reviews, and engage in patient-centered discharge planning. Between July and November of 2011, we conducted telephone surveys of patients from all four teaching teams within 30 days of discharge. In addition to asking if patients received a call from their hospital physician (intern), we administered the 3-Item Care Transitions Measure (CTM-3), which assesses patients’ perceptions of preparedness for the transition from hospital to home (possible score range 0–100). Results : The CTM-3 scores (mean±SD) of PCC team patients and standard team patients were not significantly different (82.4±17.3 vs. 79.6±17.6, p =0.53). However, regardless of team assignment, patients who reported receiving a post-discharge telephone call had significantly higher CTM-3 scores than those who did not (84.7±16.0 vs. 78.2±17.4, p =0.03). Interns exposed to the PCC curriculum called their patients after discharge more often than interns never exposed (OR=2.78, 95% CI [1.25, 6.18], p =0.013). Conclusions : The post-discharge telephone call, one element of PCC, was associated with higher CTM-3 scores – which, in turn, have been shown to lessen patients’ risk of emergency department visits within 30 days of discharge. Keywords: patient-centered care; graduate medical education; post-discharge telephone call; care transitions (Published: 29 April 2015) Citation: Med Educ Online 2015, 20: 26701 - http://dx.doi.org/10.3402/meo.v20.26701

Published
2015

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