23. Mathematica Study-Effective Transitional Care Intervention: Naylor Reducing Avoidable Hospital ReadmissionsText 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.Previous Slide Contents Next Slide Current as of 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