Melek Somai

Feb 14, 2024 | ajmc.com | Alexandra O. Polovneff |Erika Smith |Iván Pasillas |Jeana Holt |Melek Somai |Rodney A. Sparapani | +4 more

ABSTRACTObjectives: Transitions of care are pivotal, vulnerable times as patients are discharged from the hospital. Telephonic care coordination is standard care, but labor intensive. We implemented a patient postdischarge digital engagement (PDDE) program to scale coordination. We hypothesized that PDDE could reduce readmissions for low-risk patients and supplement care coordination for medium- and high-risk patients.