New evidence that primary care visits soon after hospitalization are associated with fewer readmissions

On left: graphic of blue hand next to
Date
January 25, 2019
November 14, 2019
It takes an ecosystem: Finding success in complex care
Read the Putting Care at the Center 2019 opening remarks by Kathleen Noonan, CEO
Kathleen Noonan
Putting Care at the Center attendees converse at a table.
October 29, 2019
Camden Coalition partners with the Better Care Playbook to share practical solutions for serving complex populations
Lessons from our local and national innovations that offer guidance for serving complex populations.
Mavis Asiedu-Frimpong
A group of 5 National Consumer Scholars at the Putting Care at the Center 2019 conference in Chicago
September 25, 2019
A community engaged: The Camden Coalition as a local and national hub for community empowerment
The Camden Coalition has built a robust community engagement strategy to recognize individuals with lived experience as key complex care partners.
Whitney Buchmann
August 19, 2019
Translating local innovation into statewide policy: Lessons from a medications for addiction treatment (MAT) prior authorization pilot in Camden, New Jersey
In this brief, we outline our prior authorization pilot program and our work with partners to translate the pilot into successful statewide policy.
Natasha Dravid and Alex Staropoli
August 19, 2019
Camden residents identify barriers to health in their neighborhoods
Members of organizations that have participated in our Faith in Prevention program conducted a health assessment of their Camden neighborhoods.
Whitney Buchmann
Camden Coalition staff and Community Advisory Committee members participate at the Housing and Community Development Network of New Jersey’s Annual Legislative Day at New Jersey State House
July 18, 2019
Camden Coalition joins the call to fully fund the Affordable Housing Trust Fund
To help secure FY2020 funding for the Affordable Housing Trust Fund, CAC members took part in HCDNNJ's Annual Legislative Day at the NJ State House.
Whitney Buchmann

By Dawn Wiest, Qiang Yang, Carter Wilson, and Natasha Dravid

As part of the Camden Coalition’s ongoing quality improvement efforts, we evaluated our 7-Day Pledge program to learn about the relationship between timely follow-up appointments with primary care and avoidable readmissions. 7-Day Pledge is a citywide program to reduce hospital readmissions by facilitating primary care follow-up appointments within seven days of patients leaving the hospital. We do this by engaging directly with patients and primary care providers to reduce well-known barriers like difficulty scheduling appointments and transportation, and we provide enhanced reimbursement to providers to prioritize patients recently discharged from the hospital.

The results of our analysis were published today in JAMA Network Open. We compared patients who had a primary care follow-up within seven days with patients who had similar clinical and demographic characteristics but who had a later or no follow-up appointment. We found that patients who had primary care appointments within seven days of hospital discharge had a lower number of 30- and 90-day hospital readmissions.

Infographic showing a reduction in hospital readmissions after both 30 and 90 days when patients followed up with primary care providers within seven days of hospital discharge.

“These results show that primary care practices’ commitment to reducing hospital readmissions is making real change for people in Camden,” said Camden Coalition CEO Kathleen Noonan. “We’re excited to build on this evidence and strengthen our partnerships with healthcare providers, health systems, and community members throughout the region.”

Our evaluation highlights the importance of timely primary care follow-up appointments and shows the value of collaboration. The 7-Day Pledge relies on our partnerships with primary care practices in and around Camden, including: CAMcare, Cooper Ambulatory Pediatrics, Cooper Internal Medicine, Cooper Family Medicine, Fairview Village Family Practice, Osborn Family Health Center, Project H.O.P.E., Reliance Medical Group, and Virtua Primary Care. As Camden Coalition Health Information Exchange participants, Cooper University Health Care, Jefferson Health’s three New Jersey hospitals, Lourdes Health System, and Virtua Health provide us with the data we need to run the 7-Day Pledge.

Now that we know that rapid connection to primary care helps lower readmissions for a general adult population, our next step is to learn more about which patients will benefit most from the 7-Day Pledge. This will help us target our work so we can help people most effectively and provide a return on investment.

Read the results of the 7-Day Pledge evaluation in JAMA Network Open.

Read our 7-Day Pledge quality improvement brief outlining our evaluation results.

Read our 7-Day Pledge clinical redesign brief to learn about the citywide partnership that powers the program.

Stay Informed

Join our mailing list to get the latest updates sent right to your inbox from the Camden Coalition.

Sign Up