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VNA of Care New England

Project BOOST Linked to Drop in Rehospitalization Rates

Significant reduction in average rate of 30-day rehospitalization in BOOST versus control units
MONDAY, July 22 (HealthDay News) -- Participation in Project Better Outcomes for Older Adults through Safe Transitions (BOOST) is associated with a reduction in the rate of 30-day rehospitalization, according to a study published online July 22 in the Journal of Hospital Medicine.
Luke O. Hansen, M.D., from Northwestern University Feinberg School of Medicine in Chicago, and colleagues conducted a semi-controlled pre-post study to examine the effect of Project BOOST on rehospitalization in a sample of 11 hospitals varying in geography, size, and academic affiliation. The changes in readmission rates and length of stay before and after implementation were compared within BOOST units as well as between BOOST units and site-designated control units.
The authors found that there was a significant reduction in the average rate of 30-day rehospitalization in BOOST units, from 14.7 percent pre-implementation to 12.7 percent 12 months later (relative reduction, 13.6 percent). For matched control units, the rehospitalization rates were 14.0 and 14.1 percent, respectively. The mean absolute reduction in readmission rates in BOOST units versus control units was 2.0 percent (P = 0.054).
"Participation in Project BOOST appeared to be associated with a decrease in readmission rates," the authors write.
Abstract (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2054/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2054/full )Editorial 1 (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2065/full )Editorial 2 (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2069/full )
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