{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:40:06Z","timestamp":1792194006384,"version":"4.4.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2020,2,22]],"date-time":"2020-02-22T00:00:00Z","timestamp":1582329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>Recent evidence suggests that improving the transitional care process may reduce 30-day readmissions and hospital length of stay (LOS). The objective of this study was to evaluate the impact of a pharmacist-led transitions-of-care (TOC) program on 30- and 90-day all-cause readmissions and LOS for patients discharged from the hospital acute care setting.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective cohort study was conducted using a difference-in-difference (DID) approach. Patients who were at least 18 years old with any of the following primary diagnoses were included: acute myocardial infarction, chronic obstructive pulmonary disease, congestive heart failure (CHF), and pneumonia. Outcome measures were all-cause 30- and 90-day readmission and LOS for the index admission.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>From October 2013 through September 2017, 1,776 patients were discharged from the intervention site, and 2,969 patients were discharged from 3 control sites. Only 33.3% of eligible patients at the intervention site actually received the intervention. The DID analysis showed that the odds ratio (OR) for 30-day readmission was 0.65 [P = 0.035] at the intervention site following TOC program initiation. The OR for 90-day readmission was 0.75 [P = 0.070]. Among all diagnosis groups, the CHF subgroup had the highest proportion of patients who actually received the TOC intervention (57.2%). Within that CHF subgroup, the ORs for 30- and 90-day readmissions were 0.52 [P = 0.056] and 0.47 [P = 0.005], respectively. The mean LOS did not change significantly in either analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This pharmacist-led transitional care intervention was associated with significantly decreased inpatient readmissions. The analysis indicates that pharmacist interventions can significantly reduce 30-day readmissions for high-risk populations and 90-day readmissions in patients with CHF.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ajhp\/zxaa012","type":"journal-article","created":{"date-parts":[[2020,2,22]],"date-time":"2020-02-22T09:19:31Z","timestamp":1582363171000},"page":"535-545","source":"Crossref","is-referenced-by-count":36,"title":["Real-world evidence on impact of a pharmacist-led transitional care program on 30- and 90-day readmissions after acute care episodes"],"prefix":"10.1093","volume":"77","author":[{"given":"Yuna H","family":"Bae-Shaaw","sequence":"first","affiliation":[{"name":"School of Pharmacy, University of Southern California, Los Angeles, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyunah","family":"Eom","sequence":"first","affiliation":[{"name":"Sutter Health Bay Area, Castro Valley, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F","family":"Chun","sequence":"first","affiliation":[{"name":"Sutter Health Bay Area, Castro Valley, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Steven Fox","sequence":"first","affiliation":[{"name":"School of Pharmacy, University of Southern California, Los Angeles, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,2,22]]},"reference":[{"key":"2020032404575091300_CIT0001","first-page":"83","volume-title":"Report to the Congress: Reforming the Delivery System.","author":"A path to bundled payment around a rehospitalization","year":"2005"},{"key":"2020032404575091300_CIT0002","doi-asserted-by":"crossref","first-page":"E391","DOI":"10.1503\/cmaj.101860","article-title":"Proportion of hospital readmissions deemed avoidable: a systematic review","volume":"183","author":"Van 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