… associated with interventions, such as discharge planning, that are often widely used by …
study (including 3346 patients) were associated with reduced readmission rates (RR, 0.74 [95% …

… often is stretched by the greater needs of high-risk patients (… of hospital days, as well as a
statistically significant reduction in … of our intervention among some patients, patients in the trial …

… acute care, most interventions have focused on a high-risk care-… to people experiencing poor
outcomes and high healthcare … care coordinators for hospital and home, constant care team …

… rates in … chronic conditions are essential given that over a quarter of avoidable hospitalisations
occur in this age group and two-thirds of avoidable hospital admissions are due to chronic …

… single site (Toronto Western Hospital Family Health Team), we … target interventions at the
primary care level to a high-risk … potential to improve patient care and reduce costs substantially…

… transitions of care — for example, from hospital to home, … We welcome the involvement
and support of all stakeholders … better chronic care at lower costs across the health care …

… -cost, high-needs patients are just temporarily high-risk.Documented predictors of hospital
and … Also, persistently high-risk patients had more frequent VHA hospitalizations per year than …

… of the intervention, and the limited outcomes that are often … demonstration sites to improve
care for patients at the highest … most high-risk patients are cared for in general primary care …

… intervention can improve the outcomes of HRHC patients since they often have multiple
progressive chronic … data); (4) Contract Hospital Files (data from non-VHA hospitals contracted …

… interventions targeting adult frequent ED users at reducing ED visit frequency and improving
hospital admissions, mortality, costs, … All RCTs and CBA studies had a high risk of bias, most …