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August 19, 2025International Journal of Integrated CareOpen Access

MGH2Home: Integrating Interdisciplinary Care for Seamless Transitions from Hospital to Home

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Authors

CMChantel MarshallDFDavid C. FryDQDorothy Quon

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Overview

Program implements multidisciplinary support and transitional care for patients, highlighting improved population health outcomes.

Key Points

  • Improved patient outcomes, with 60% successfully transitioning to their communities post-discharge.
  • The program served 229 patients in its first year, with a focus on transitioning care effectively after hospitalization.
  • Observational analysis across various disciplines involved in patient care, ensuring comprehensive support throughout recovery.
  • Highlights the importance of community involvement in program design and ongoing strategic adaptations.

Cite This Study

Marshall et al. (2025) studied this question.

synapsesocial.com/papers/68af409acf1dd9ea359ec89bhttps://doi.org/10.5334/ijic.nacic24114
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Also Consider

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  1. 1Building of a Learning Health System surrounding Hospital Discharge: A toolbox for Sustainable Metrics from Implementation to Evaluation and Emulation2025
  2. 2Hospital at Home in Calgary, Canada: An opportunity for real-world care planning and integration.2025
  3. 3Collectively committing to improved care and outcomes: Fostering an environment of trust, collaboration and accountability2025
  4. 4Equitable care through LTC-Acute system integration: Our journey2025
  5. 5House Calls: A person-centered, integrated, home-based care model for successful aging in place2025