23. Mathematica Study-Effective Transitional Care Intervention: Naylor

Reducing Avoidable Hospital Readmissions

Text version of slide presentation.

Mathematica Study—Effective Transitional Care Invention: Naylor et al. (2004)

  • Targeted patients hospitalized for congestive heart failure (CHF).
  • Used advanced practice nurses (APNs).
  • 12-week intervention; highly structured protocols.
  • Randomized controlled trial (RCT) (118 treatment, 121 control).
  • 1 year post-discharge follow-up.
  • Intervention patients had: 34% fewer rehospitalizations per patient.
  • Lower proportion rehospitalized (45% vs. 55%).
  • 39% lower average total costs ($7,636 vs. $12,481.

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Page last reviewed June 2009
Internet Citation: 23. Mathematica Study-Effective Transitional Care Intervention: Naylor: Reducing Avoidable Hospital Readmissions. June 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/hospital/red/readmissions/readslide23.html