This prospective cohort study seeks to determine if the ECHO-CT program, a healthcare videoconferencing program, can improve clinical outcomes while reducing cost and resource utilization when expanded to a community hospital setting. Data will be analyzed on the facility level and patient level.
Name: ECHO CT Intervention
Name: Matched Non-Participating Facilities
Description: Number of hospital readmissions over 30 day period among participating SNF sites
Measure: 30-Day Readmission Rates Time: 30-DaysDescription: Includes average length of stay in the facility
Measure: Health Care Utilization Time: up to 90 daysDescription: From the MDS (variable codes in parentheses), including rates of dehydration (J1550C), internal bleeding (J1550D), falls (J1800), anti-psychotic medication use (N0400A), delirium (C1300), surgical wound infections (I2500 and M1040E), pressure ulcers (M0210), and uncontrolled pain (J0850).
Measure: Incidence of Adverse Clinical Conditions Time: 30 DaysDescription: Total 30-day Medicare costs for fee-for-service patients.
Measure: Health Care Cost Time: 30-daysAllocation: Non-Randomized
Parallel Assignment
There is one SNP
From the MDS (variable codes in parentheses), including rates of dehydration (J1550C), internal bleeding (J1550D), falls (J1800), anti-psychotic medication use (N0400A), delirium (C1300), surgical wound infections (I2500 and M1040E), pressure ulcers (M0210), and uncontrolled pain (J0850).. Health Care Cost. --- M1040E ---