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September 25, 2025Journal of Patient SafetyOpen Access

Improving Telehealth Transition of Care Programs Focused on Readmission Reduction

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Authors

PSPatricia SpaarGZGarrett ZabalaRARyan E. Anderson

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Overview

Analysis of a telehealth transitional care program finds reduced readmission rates in engaged patients, suggesting key improvement areas.

Key Points

  • Engagement in the telehealth program led to a readmission rate of 18.7%, while those not engaging had a higher rate of 21.3%.
  • Relative risk reduction in readmissions for engaged patients was calculated at 12%, indicating program effectiveness. Telehealth interactions included critical elements such as timely appointments and caregiver involvement.
  • Qualitative chart reviews revealed that patients not readmitted had timely follow-ups, more family support, and fewer social needs unmet compared to readmitted patients.
  • The study underscores the need for more rigorous analysis and highlights potential improvements in telehealth transitional care programs.

Cite This Study

Spaar et al. (2025) studied this question.

synapsesocial.com/papers/68d5bd5ddc445aa9033afdcehttps://doi.org/10.1097/pts.0000000000001367
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Telehealth-Based Transitional Care Model for Children with Medical Complexity2026 · 1 citations
  2. 2Patient and Program Level Correlates of 30-day Readmissions: A Retrospective Analysis of a Transitional Care Program2025
  3. 3Intensive Telemedicine Transitions of Care Clinic: A Prospective Feasibility Study of a Novel Ambulatory Model Serving Appalachian Patients.2025
  4. 4Link From Hospital to Home: Ensuring Quality Transitions for CKD Patients2025
  5. 5Addressing Safety, Quality, and Cost of Care Through a Telehealth Outpatient Transitional Care Model: Protocol for a Pragmatic Randomized Controlled Trial (Preprint)2025