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{
    "pk": 17031,
    "title": "Community Paramedicine Intervention Reduces Hospital Readmission and Emergency Department Utilization for Patients with Cardiopulmonary Conditions",
    "subtitle": null,
    "abstract": "Objective:\n Patients discharged from the hospital with diagnoses of myocardial infarction, congestive heart failure or acute exacerbation of chronic obstructive pulmonary disease (COPD) have high rates of readmission. We sought to quantify the impact of a community paramedicine (CP) intervention on hospital readmission and emergency department (ED) and clinic utilization for patients discharged with these conditions and to calculate the difference in healthcare costs.\nMethods:\n This was a prospective, observational cohort study with a matched historical control. The groups were matched for qualifying diagnosis, age, gender, and ZIP code. The intervention group received 1–2 home visits per week by a community paramedic for 30 days. We calculated the number of all-cause hospital readmissions and ED and clinic visits, and used descriptive statistics to compare cohorts.\nResults:\n Included in the study were 78 intervention patients and 78 controls. Compared to controls, fewer subjects in the CP cohort had experienced a readmission at 120 days (34.6% vs 64.1%, P < 0.001) and 210 days (43.6% vs 75.6%, P < 0.001) after discharge. At 210 days the CP cohort had 40.9% fewer total hospital admissions, saving 218 bed days and $410,428 in healthcare costs. The CP cohort had 40.7% fewer total ED visits.\nConclusion:\n Patients who received a post-hospital community paramedic intervention had fewer hospital readmissions and ED visits, which resulted in saving 218 bed days and decreasing healthcare costs by $410,428. Incorporation of a home CP intervention of 30 days in this patient population has the potential to benefit payors, hospitals, and patients.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Community Paramedicine, Readmission, Post-Acute, Utilization"
        }
    ],
    "section": "Prehospital Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0vx4d37h",
    "frozenauthors": [
        {
            "first_name": "Aaron",
            "middle_name": "",
            "last_name": "Burnett",
            "name_suffix": "",
            "institution": "Regions Hospital, St. Paul, Minnesota",
            "department": "None"
        },
        {
            "first_name": "Sandi",
            "middle_name": "",
            "last_name": "Wewerka",
            "name_suffix": "",
            "institution": "Critical Care Research Center, Regions Hospital, St. Paul, Minnesota",
            "department": "None"
        },
        {
            "first_name": "Paula",
            "middle_name": "",
            "last_name": "Miller",
            "name_suffix": "",
            "institution": "Critical Care Research Center, Regions Hospital, St. Paul, Minnesota",
            "department": "None"
        },
        {
            "first_name": "Ann",
            "middle_name": "",
            "last_name": "Majerus",
            "name_suffix": "",
            "institution": "Regions Hospital, St. Paul, Minnesota; St. Paul Fire Department, St. Paul, Minnesota",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "",
            "last_name": "Clark",
            "name_suffix": "",
            "institution": "Regions Hospital, St. Paul, Minnesota",
            "department": "None"
        },
        {
            "first_name": "Landon",
            "middle_name": "",
            "last_name": "Crippes",
            "name_suffix": "",
            "institution": "Critical Care Research Center, Regions Hospital, St. Paul, Minnesota",
            "department": "None"
        },
        {
            "first_name": "Tia",
            "middle_name": "",
            "last_name": "Radant",
            "name_suffix": "",
            "institution": "Regions Hospital, St. Paul, Minnesota",
            "department": "None"
        }
    ],
    "date_submitted": "2022-06-24T18:34:16Z",
    "date_accepted": "2022-06-24T18:34:16Z",
    "date_published": "2023-07-10T18:11:41Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17031/galley/8609/download/"
        }
    ]
}