Maulik Shah1, Vanja Douglas1, Brian Scott2, S Andrew Josephson1. 1. Department of Neurology, University of California San Francisco Medical Center. 2. Department of Neurology, Lahey Hospital and Medical Center, Burlington, MA, USA.
Abstract
BACKGROUND AND PURPOSE: Medicine hospitalist programs have effectively incorporated hospitalist-run discharge clinics into clinical practice to help bridge the vulnerable transition periods after hospital discharge. A neurohospitalist discharge clinic would similarly allow continuity with the inpatient provider while addressing challenges in the coordination of neurologic care. We anticipated that this would afford a greater total number of patients to be seen and at a shorter interval. METHODS: The number of posthospital discharge patients who were seen in general continuity per month in the 6 months prior to establishment of neurohospitalist discharge clinic and those seen over 1 full calendar year 6 months after clinic began was compared by reviewing medical records. Average length of time between discharge from hospital and first clinic visit was compared between patients seen in general neurology continuity clinic and those seen in discharge clinic. RESULTS: There was a significant increase in the average number of postdischarge visits per month after initiation of neurohospitalist discharge clinic compared to prior (16.1 visits vs 10.5 visits, P = .001). Patients were seen significantly sooner after hospitalization in discharge clinic (35.9 ± 4.3 days) compared to those seen in general continuity clinic during the same time epoch (57.6 ± 4.1 days; p < 0.001). CONCLUSIONS: Creation of a neurohospitalist discharge clinic was effective in increasing posthospital discharge follow-up frequency and shortening duration of time to follow-up.
BACKGROUND AND PURPOSE: Medicine hospitalist programs have effectively incorporated hospitalist-run discharge clinics into clinical practice to help bridge the vulnerable transition periods after hospital discharge. A neurohospitalist discharge clinic would similarly allow continuity with the inpatient provider while addressing challenges in the coordination of neurologic care. We anticipated that this would afford a greater total number of patients to be seen and at a shorter interval. METHODS: The number of posthospital discharge patients who were seen in general continuity per month in the 6 months prior to establishment of neurohospitalist discharge clinic and those seen over 1 full calendar year 6 months after clinic began was compared by reviewing medical records. Average length of time between discharge from hospital and first clinic visit was compared between patients seen in general neurology continuity clinic and those seen in discharge clinic. RESULTS: There was a significant increase in the average number of postdischarge visits per month after initiation of neurohospitalist discharge clinic compared to prior (16.1 visits vs 10.5 visits, P = .001). Patients were seen significantly sooner after hospitalization in discharge clinic (35.9 ± 4.3 days) compared to those seen in general continuity clinic during the same time epoch (57.6 ± 4.1 days; p < 0.001). CONCLUSIONS: Creation of a neurohospitalist discharge clinic was effective in increasing posthospital discharge follow-up frequency and shortening duration of time to follow-up.
Authors: Vanja C Douglas; Brian J Scott; Geraldine Berg; William D Freeman; S Andrew Josephson Journal: Neurology Date: 2012-08-22 Impact factor: 9.910
Authors: John C Probasco; James Greene; Amy Harrison; Judd Jensen; Sandeep Khot; Joshua P Klein; Jennifer Simpson; Jana Wold; S Andrew Josephson; David Likosky Journal: Neurohospitalist Date: 2018-12-30
Authors: Karin Mitiyo Corrêa; Flávio Moura de Rezende Filho; Fabiano Ferreira Abrantes; João Brainer Clares de Andrade; Orlando G P Barsottini; José Luiz Pedroso Journal: Neurohospitalist Date: 2020-11-23