The effect of a Care Coordination Home Telehealth Program on veteran behavioral health patients and recidivism
Carol Ann Johnine Dracup, D'Youville College, United States
D'Youville College . Awarded
The New York State Veterans Administration Hospital System has sought to improve the quality and efficiency of health care delivery to veterans presenting with mental health diagnosis including post traumatic stress disorder (PTSD), depression, and substance abuse through the use of a telehealth monitoring system called The Care Coordination/Home Telehealth (CCHT) Program. A retrospective static group comparison designed to look at the utility of the CCHT service to reduce recidivism was conducted within a northeast Department of Veterans Affairs health care hospital system over a 6-month timeframe. Recidivism was defined as emergency room visits and inpatient admissions. Data analysis examined the effect of telehealth CCHT interventions on overall recidivism and recidivism in subgroups of PTSD, depression, and substance abuse. A supplemental analysis examined links between CCHT module use and contact calls with recidivism among program participants. Results showed that CCHT participants had a significantly lower recidivism rate than non-participants when defined as emergency utilization but not as admissions. Also those CCHT participants who presented to the emergency room used the CCHT module more than those that did not, and no statistically significant difference in the number of calls between the two groups was found.
Dracup, C.A.J. The effect of a Care Coordination Home Telehealth Program on veteran behavioral health patients and recidivism. Ph.D. thesis, D'Youville College.
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