Drs. Mkanta and Chumbler and Mr. Ezekekwu (CHHS) and other team members, Dr. Yang and Mr. Abdollahi (Wayne State University), Dr. Saigal (University of Michigan), and Dr. Mejia de Grubb (Baylor College of Medicine) have recently completed a multi-state study that examined the likelihood of home discharges among Medicaid enrollees following general hospitalizations. The findings of this study, "An Examination of the Likelihood of Home Discharge After General Hospitalizations Among Medicaid Recipients" have been published in Inquiry, one of the leading journals in healthcare organizations and outcomes.
Since hospitalization is usually the most costly type of care, substantial effort on cost management and resource utilization in the health system has been directed to finding ways of improving the quality of hospital care to reduce the length of stay while at the same time increase the potential for less costly out-of-hospital care. Mkanta, Chumbler and Ezekekwu pointed out “the ability to predict discharge destination would be a useful way of optimizing post-hospital care.” Mr. Emmanuel Ezekekwu is a second year student in the MHA program, department of public health.
The study, funded by the National Science Foundation, found that patient’s gender, age, race and dual Medicare/Medicaid eligibility as well as having ambulatory care-sensitive conditions upon admission were predictors of home-based discharges.
The authors concluded that “as the nation engages in the continued effort to improve the effectiveness of the healthcare system, cost savings are possible if providers and systems of care are able to identify admission factors with greater prospects for in-home services after discharge. Hospitals and systems of care should invest in understanding and supporting design, management and operations of care delivered at home. They should have the interest of making home-based settings a preferred destination for patients receiving post-hospital care if meaningful cost savings are to be achieved.”
The publication can be found here: http://journals.sagepub.com/eprint/Rxhm2mc2hU5AtVYQwutK/full