Outpatient Telephonic Transitional Care After Hospital Discharge Improves Survival in Cirrhotic Patients

Measuring the effectiveness of transitional care interventions in improving outcomes in cirrhotic patients (CPs) after hospital discharge (HD) often focuses on 30-day readmission rate (RR). This metric is driven in part by reimbursement penalties. However, in the US Veteran Affairs health care setting, it was recently suggested by Kanwal et al that there is dissociation between hospital RR and survival. Higher early readmission was associated with improved survival. In a new initiative at our center, CPs are provided outpatient telephonic transitional care (OTTC) by a care coordinator for 30 days after hospital discharge.

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