Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Integrated Healthcare System01:20

Integrated Healthcare System

2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K
Patient-centered Care01:13

Patient-centered Care

2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K
Tertiary Healthcare System01:21

Tertiary Healthcare System

2.1K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.1K
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Multi-platform reassessment of human mitochondrial DNA methylation reveals signals consistent with technical artifacts.

bioRxiv : the preprint server for biology·2026
Same author

Medical Record Abstraction for Quality Improvement in Sepsis Care Using Artificial Intelligence: A Cluster Randomized Trial.

JAMA network open·2026
Same author

Early experience with a patient-facing AI chatbot integrated in a patient portal.

JAMIA open·2026
Same author

Artificial Intelligence Note Summarization in the Emergency Department.

JAMA network open·2026
Same author

Large Language Models for Summarizing Advance Care Planning Information From Goals of Care Notes in the EHR.

Learning health systems·2026
Same author

Does Recording Hardware Matter for Clinical Speech Recognition? Evaluating ASR Performance Across Consumer Devices.

medRxiv : the preprint server for health sciences·2026

Related Experiment Video

Updated: Jan 12, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

28

Telehealth Emergency Department Transition-of-care Program: A Value-based Innovation.

Allyson Kreshak1,2, Itzik Fadlon3, Karna Malaviya3

  • 1University of California, San Diego Health, Population Health Services Organization, San Diego, California.

The Western Journal of Emergency Medicine
|November 5, 2025
PubMed
Summary
This summary is machine-generated.

A telehealth transition of care program reduced Medicare emergency department revisits between 8-14 days post-discharge. This program demonstrated significant cost savings, highlighting its value in improving patient care transitions.

More Related Videos

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

7.0K
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.6K

Related Experiment Videos

Last Updated: Jan 12, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

28
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

7.0K
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.6K

Area of Science:

  • Health Services Research
  • Telehealth
  • Value-Based Care

Background:

  • Emergency departments (EDs) face challenges with patient readmissions, particularly for those under value-based contracts.
  • A telehealth transition of care (TOC) program was developed to manage post-discharge patient needs.
  • The study aimed to evaluate the impact of this ED-TOC program on ED revisits.

Purpose of the Study:

  • To determine the association between a telehealth ED-TOC program and ED revisit rates.
  • To assess the program's effect on post-discharge primary care physician (PCP) visits and hospitalizations.
  • To estimate the cost savings generated by the ED-TOC program.

Main Methods:

  • Retrospective cohort study of Medicare beneficiaries discharged from two EDs (August 2021-July 2023).
  • Utilized a difference-in-differences (DID) strategy comparing Medicare (treatment) and Medicaid (control) beneficiaries.
  • Primary outcome: 14- and 30-day ED revisit rates; Secondary outcomes: PCP visits, hospitalizations, and cost savings.

Main Results:

  • A 1.77% decrease in 14-day ED revisits for Medicare beneficiaries post-program launch compared to controls (p=0.03).
  • A 10.3% increase in 14-day PCP visits for Medicare beneficiaries post-program launch (p=0.03).
  • No significant difference in 30-day ED revisits or hospitalizations; significant increase in 30-day PCP visits (p=0.005).

Conclusions:

  • The ED-TOC program is associated with reduced Medicare ED revisits during days 8-14 post-discharge.
  • The program did not show a significant impact on 1-7 day or 30-day ED revisits.
  • Conservative cost savings of $215,779 were estimated over a 24-week period.