Effectiveness of a telephone-based nursing intervention to reduce hospital utilization by COVID-19 patients

Principal Investigator(s):  View help for Principal Investigator(s) Samantha Korycinski, MD, MPH, University of Michigan, School of Public Health; Courtland Keteyian, MD, MBA, MPH, Henry Ford Allegiance Health; David Metcalf, MA, Henry Ford Allegiance Health

Version:  View help for Version V1

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Project Citation: 

Korycinski, MD, MPH, Samantha , Keteyian, MD, MBA, MPH, Courtland , and Metcalf, MA, David. Effectiveness of a telephone-based nursing intervention to reduce hospital utilization by COVID-19 patients. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2021-07-20. https://doi.org/10.3886/E145581V1

Project Description

Summary:  View help for Summary With the surge of COVID-19 cases in the United States in the early months of the pandemic, the availability of hospital resources became a concern. To reduce the strain on health systems, it is important to decrease the number of COVID-19 patients requiring hospital care. Since most patients with COVID-19 only develop mild symptoms, remote monitoring and assessment of symptoms of COVID-19 patients at home may help reduce preventable hospital utilization, morbidity, and mortality. Henry Ford Allegiance Health in Jackson, Michigan implemented a nurse-led, telephone-based, active management protocol for patients that tested positive for SARS-CoV-2 at their drive through testing site and who were self-isolating at home. The objective of this retrospective study was to assess the effectiveness of the protocol in reducing hospital utilization by patients who tested positive for SARS-CoV-2 between March 23, 2020 and May 31, 2020. The study included a total of 293 patients, with 154 patients in the pre-implementation group and 139 patients in the post-implementation group. Although the difference in the 30-day probability of hospital utilization between the study groups was not statistically significant, there was a reduction seen in the post-implementation group. The protocol also allowed ongoing assessment of COVID-19 patients with limited in-person interactions, thereby reducing the risk of infection for health care workers. With the increased use of telemedicine, this protocol could be used as a guide for other health systems looking to improve access to care for COVID-19 patients without increasing hospital utilization.  

Scope of Project

Subject Terms:  View help for Subject Terms COVID-19; nursing intervention; telemedicine
Geographic Coverage:  View help for Geographic Coverage Jackson County, Michigan
Time Period(s):  View help for Time Period(s) 3/23/2020 – 5/31/2020
Collection Date(s):  View help for Collection Date(s) 3/23/2020 – 5/31/2020

Methodology

Data Source:  View help for Data Source This study is a retrospective cohort study utilizing data from electronic health records.

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Published Versions

V1 [2021-07-20]

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