Related Experiment Video
Updated: Feb 8, 2026
08:59
Method of Isolated Ex Vivo Lung Perfusion in a Rat Model: Lessons Learned from Developing a Rat EVLP Program
Published on: February 25, 2015
28.6K
Which Readmissions May Be Preventable? Lessons Learned From a Posthospitalization Care Transitions Program for
Rozalina G McCoy1,2,3, Stephanie M Peterson4, Lynn S Borkenhagen1
1Departments of Medicine, Division of Community Internal Medicine.
Medical Care
|June 26, 2018
Summary
The Mayo Clinic Care Transitions (MCCTs) Program significantly reduced potentially preventable hospital readmissions by 44% in high-risk elders. This multidisciplinary care approach improves outcomes for elderly patients.
Area of Science:
- Geriatric Medicine
- Health Services Research
- Preventive Cardiology
Background:
- Care transitions programs are effective in reducing hospital readmissions.
- High-risk elderly patients are particularly vulnerable to readmission after hospitalization.
Purpose of the Study:
- To evaluate the impact of the Mayo Clinic Care Transitions (MCCTs) Program on 30-day unplanned readmissions in high-risk elders.
- To differentiate between potentially preventable and nonpreventable readmissions.
Main Methods:
- Retrospective cohort study comparing MCCT enrollees with propensity score-matched controls.
- Inclusion criteria: primary care patients, aged 60+, high-risk for readmission, hospitalized between January 2011 and June 2013.
- Potentially preventable readmissions identified using the 3M algorithm; ambulatory care sensitive conditions were also assessed.
Main Results:
- The study included 365 matched pairs of MCCT enrollees and controls.
- MCCT enrollees had significantly lower all-cause readmission rates (12.4% vs. 20.1%, P=0.004).
- Potentially preventable readmissions were reduced by 44% (P=0.01) in the MCCT group, with no significant change in nonpreventable readmissions.
Conclusions:
- The MCCT program effectively reduces potentially preventable hospital readmissions in high-risk elderly patients.
- Multidisciplinary care during transitions can improve outcomes and reduce readmissions for this population.
More Related Videos
10:18From a 2DE-Gel Spot to Protein Function: Lesson Learned From HS1 in Chronic Lymphocytic Leukemia
Published on: October 19, 2014
14.2K
07:10At-Risk Butterfly Captive Propagation Programs to Enhance Life History Knowledge and Effective Ex Situ Conservation Techniques
Published on: February 11, 2020
7.7K
Related Concept Videos
02:31Phase Transitions
23.3K
Whether solid, liquid, or gas, a substance's state depends on the order and arrangement of its particles (atoms, molecules, or ions). Particles in the solid pack closely together, generally in a pattern. The particles vibrate about their fixed positions but do not move or squeeze past their neighbors. In liquids, although the particles are closely spaced, they are randomly arranged. The position of the particles are not fixed—that is, they are free to move past their neighbors to...
23.3K
02:58Properties of Transition Metals
30.0K
Transition metals are defined as those elements that have partially filled d orbitals. As shown in Figure 1, the d-block elements in groups 3–12 are transition elements. The f-block elements, also called inner transition metals (the lanthanides and actinides), also meet this criterion because the d orbital is partially occupied before the f orbitals.
30.0K
01:58Cooperative Allosteric Transitions
8.8K
Cooperative allosteric transitions can occur in multimeric proteins, where each subunit of the protein has its own ligand-binding site. When a ligand binds to any of these subunits, it triggers a conformational change that affects the binding sites in the other subunits; this can change the affinity of the other sites for their respective ligands. The ability of the protein to change the shape of its binding site is attributed to the presence of a mix of flexible and stable segments in the...
8.8K
02:39Phase Transitions: Vaporization and Condensation
21.5K
The physical form of a substance changes on changing its temperature. For example, raising the temperature of a liquid causes the liquid to vaporize (convert into vapor). The process is called vaporization—a surface phenomenon. Vaporization occurs when the thermal motion of the molecules overcome the intermolecular forces, and the molecules (at the surface) escape into the gaseous state. When a liquid vaporizes in a closed container, gas molecules cannot escape. As these gas phase molecules...
21.5K
02:33Phase Transitions: Sublimation and Deposition
20.2K
Some solids can transition directly into the gaseous state, bypassing the liquid state, via a process known as sublimation. At room temperature and standard pressure, a piece of dry ice (solid CO2) sublimes, appearing to gradually disappear without ever forming any liquid. Snow and ice sublimate at temperatures below the melting point of water, a slow process that may be accelerated by winds and the reduced atmospheric pressures at high altitudes. When solid iodine is warmed, the solid sublimes...
20.2K
02:39Phase Transitions: Melting and Freezing
15.2K
Heating a crystalline solid increases the average energy of its atoms, molecules, or ions, and the solid gets hotter. At some point, the added energy becomes large enough to partially overcome the forces holding the molecules or ions of the solid in their fixed positions, and the solid begins the process of transitioning to the liquid state or melting. At this point, the temperature of the solid stops rising, despite the continual input of heat, and it remains constant until all of the solid is...
15.2K