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A Reengineered Hospital Discharge Program to Decrease ...

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A Reengineered Hospital Discharge Program to DecreaseRehospitalizationA Randomized TrialBrian W. Jack, MD; Veerappa K. Chetty, PhD; David Anthony, MD, MSc; Jeffrey L. Greenwald, MD; Gail M. Sanchez, PharmD, BCPS;Anna E. Johnson, RN; Shaula R. Forsythe, MA, MPH; Julie K. O Donnell, MPH; Michael K. Paasche-Orlow, MD, MA, MPH;Christopher Manasseh, MD; Stephen Martin, MD, MEd; and Larry Culpepper, MD, MPHBackground:Emergency department visits and rehospitalization arecommon after Hospital :To test the effects of an intervention designed to min-imize Hospital utilization after :Randomized trial using block randomization of 6 and arranged index cards were placed in opaque envelopeslabeled consecutively with study numbers, and participants wereassigned a study group by revealing the index :General medical service at an urban, academic, :749 English-speaking hospitalized adults (mean age, ).Intervention:A nurse Discharge advocate worked with patientsduring their Hospital stay to arrange follow-up appointments, con-firm medication reconciliation, and conduct patient education withan individualized instruction booklet that was sent to their primarycare provider.

A Reengineered Hospital Discharge Program to Decrease Rehospitalization Improving Patient Care www.annals.org 3 February 2009 Annals of Internal Medicine Volume 150 • Number 3 179 A clinical pharmacist telephoned the participants 2 to

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