The Central Role of Performance Measurement in Improving the Quality of Transitional Care

Coleman, Eric A.; Parry, Carla; Chalmers, Sandra; Chugh, Amita; Mahoney, Eldon R.

doi:10.1300/j027v26n04_07

Cited by 50 publications

(44 citation statements)

References 5 publications

(7 reference statements)

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“…Higher scores on the CTM-3 reflect higher quality transitions of care. 13 Although low CTM-3 scores have been associated with emergency room revisits, 14 they have not been associated with inpatient readmissions that are subjected to Hospital Readmissions Reduction Program penalties. Additionally, in a previous validation study, the study population was less than 300 patients and almost entirely Caucasian.…”

Section: Introductionmentioning

confidence: 99%

Is the Care Transitions Measure Associated with Readmission Risk? Analysis from a Single Academic Center

et al. 2016

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BACKGROUND: It is widely hypothesized that improvement in transitions of care will reduce unplanned hospital readmissions. However, the association between the Care Transitions Measure, the national quality metric for transitions of care and readmission risk, has not been established. OBJECTIVE: We aimed to determine the association between the Care Transition Measure and readmission. DESIGN: This was a single-center, prospective cohort study. PARTICIPANTS: Convenience sample of 2,963 patients enrolled in the BBridging the Divides^program, a longitudinal care management program for patients with coronary revascularization, from 2013 to 2014. Of these, 1594 (54 %) patients completed a post-discharge Care Transition Measure questionnaire. INTERVENTION: Care Transition Measure scores were collected by trained research staff blinded to study hypothesis, by telephone, within 30 days of discharge. Higher Care Transition Measure scores reflect a higher quality transition of care. MAIN MEASURES: 30-day readmission was measured. KEY RESULTS: Of the1594 patients that completed the Care Transition Measure survey, 1216 (76 %) received percutaneous coronary intervention and 378 (24 %) received coronary artery bypass grafting. Mean Care Transition Measure scores were significantly lower among patients who had a prior admission (77.2 vs. 82.1, p < 0.001) and those with ≥ 5 comorbidities (77 vs. 82.6 vs. 81.6, p < 0.001). Mean scores were significantly lower among patients who were readmitted within the percutaneous coronary intervention subgroup (73 vs. 80.9, p < 0.001) and the total study population (74.6 vs. 81.1, p < 0.001) compared to those who were not readmitted. This was not the case in the coronary artery bypass grafting subgroup (78.5 vs. 81.7, p = 0.29). After multivariable adjustment, every ten-point increase in the Care Transition Measure score was associated with a 14 % reduction in readmission risk (adjusted odds ratio 0.86, 95 % CI 0.78-0.95). CONCLUSIONS: The Care Transition Measure is strongly associated with readmissions, which strengthens its validity. However, its association with patient variables linked with readmission and its inconsistent association with readmission across clinical groups raises concerns that scores may be influenced by patient characteristics.

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Section: Introductionmentioning

confidence: 99%

Is the Care Transitions Measure Associated with Readmission Risk? Analysis from a Single Academic Center

et al. 2016

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“…Al igual que en otros trabajos que utilizan el CTM para medir la satisfacción del paciente, encontramos que la mayoría de usuarios están satisfechos con la continuidad de cuidados (8,20). Al usar la herramienta CTM-3 existe una tendencia entre los encuestados a contestar de forma afirmativa a las preguntas, es decir, a no entrar en conflicto con el encuestador, y afirmar que todo el proceso ha sido satisfactorio (10).…”

Section: Discussionunclassified

“…Los autores argumentan que la información que se pierde al utilizar la encuesta CTM-3 es pequeña, comparada con la reducción de la carga de trabajo que se ahorra al utilizar un cuestionario sensiblemente más corto. La encuesta CTM-3 fue respaldada por el Foro de Calidad Nacional e incluida en la Evaluación de Consumidor de Proveedores de Asistencia Médica y Sistemas (CAHPS) de Estados Unidos (8,9).…”

Section: Introductionunclassified

Validación del cuestionario CTM-3-modificado sobre satisfacción con la continuidad de cuidados: un estudio de cohortes

Berenguer-García¹,

Roldán-Chicano²,

Rodríguez‐Tello³

et al. 2018

Aquichan

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Objetivos: validar el contenido y constructo de la encuesta CTM-3 (Care Transitions Measure- 3 preguntas) modificada. Determinar el nivel de satisfacción de los usuarios con la continuidad de cuidados de enfermería interniveles y relacionarlo con la presencia de Informe de Cuidados de Enfermería tras su última hospitalización. Material y método: estudio de cohortes retrospectivo, con 131 pacientes hospitalizados en el Complejo Hospitalario de Cartagena (España).La satisfacción con la continuidad de cuidados se valoró con el cuestionario CTM-3-modificado, resultado de un proceso de validación realizado sobre el mismo. Resultados: un 94% de los encuestados presenta una satisfacción aceptable con el proceso de continuidad de cuidados. Los pacientes con Informe de Cuidados tienen un nivel alto de satisfacción con la continuidad de cuidados, RR= 0,90 (IC 95%: 0,831-0,990). Conclusiones: La validez de contenido y constructo realizadas, han permitido medir la satisfacción de los usuarios con la continuidad y su correlación con la presencia de informe, obteniendo como resultado que la realización de Informe de Cuidados influye ligeramente en la satisfacción con el proceso de continuidad de cuidados. Sin embargo, el hecho de que el informe se entregue en mano y/o se explique no parece afectar a la misma.

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“…The CTM-3 is a shorter three-item score that retains the major domains of the full CTM questionnaire while still explaining the majority of its variance. 4,5 The original validation cohort of the full CTM consisted of 200 patients (with primary diagnoses of chronic obstructive pulmonary disease, congestive heart failure, stroke or hip fracture) in an integrated health system in the Pacific Northwest. 3 Lower CTM scores were associated with recidivism to the emergency room and hospital readmission.…”

Section: T He Publication In 2001 Of the Institute Of Medicine Reportmentioning

confidence: 99%

“…In a subsequent validation study with 192 patients aged ≥ 65 years with diabetes or congestive heart failure, CTM-3 scores independently predicted emergency room recidivism at 30 days. 4 Given the initial promise of the CTM-3, this measure was integrated into the HCAHPS survey in 2013 as the ninth HCAHPS dimension and has been reported on Medicare's Hospital Compare website since 2014. Beginning in fiscal year 2018, the CTM-3 will be incorporated into the Hospital Value-Based Purchasing Program (VBP).…”

Section: T He Publication In 2001 Of the Institute Of Medicine Reportmentioning

confidence: 99%

Care Transitions Measure Score and Coronary Revascularization Related Readmission: Ready for Primetime Use?

Atreya

Pack

2016

J GEN INTERN MED

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The Central Role of Performance Measurement in Improving the Quality of Transitional Care

Cited by 50 publications

References 5 publications

Is the Care Transitions Measure Associated with Readmission Risk? Analysis from a Single Academic Center

Is the Care Transitions Measure Associated with Readmission Risk? Analysis from a Single Academic Center

Validación del cuestionario CTM-3-modificado sobre satisfacción con la continuidad de cuidados: un estudio de cohortes

Care Transitions Measure Score and Coronary Revascularization Related Readmission: Ready for Primetime Use?

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