Summary of STARNet: Seamless Transitions and (Re)admissions Network

Author:

Auger Katherine A.1,Simon Tamara D.2,Cooperberg David3,Gay James4,Kuo Dennis Z.5,Saysana Michele6,Stille Christopher J.7,Fisher Erin Stucky8,Wallace Sowdhamini9,Berry Jay10,Coghlin Daniel11,Jhaveri Vishu12,Kairys Steven13,Logsdon Tina14,Shaikh Ulfat15,Srivastava Rajendu16,Starmer Amy J.10,Wilkins Victoria16,Shen Mark W.17

Affiliation:

1. Division of Hospital Medicine, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio;

2. Division of Hospital Medicine, Department of Pediatrics, University of Washington and Seattle Children’s Hospital, Seattle, Washington;

3. St. Christopher’s Hospital for Children, Drexel University College of Medicine, Philadelphia, Pennsylvania;

4. Vanderbilt University School of Medicine, Nashville, Tennessee;

5. Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas;

6. Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, Indiana;

7. General Academic Pediatrics, University of Colorado School of Medicine/Children’s Hospital Colorado, Aurora, Colorado;

8. University of California San Diego School of Medicine, San Diego, California;

9. Section of Hospital Medicine, Department of Pediatrics, Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas;

10. Division of General Pediatrics, Department of Medicine, Boston Children's Hospital; Harvard Medical School, Boston, Massachusetts;

11. Hasbro Children’s Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island;

12. Blue Cross Blue Shield of Arizona representing Blue Cross Blue Shield Association, Phoenix, Arizona;

13. Jersey Shore Medical Center, Neptune Township, New Jersey;

14. Children’s Hospital Association, Overland Park, Kansas;

15. University of California Davis Health System, Sacramento, California;

16. Division of Inpatient Medicine, Department of Pediatrics, Primary Children’s Hospital, University of Utah, Salt Lake City, Utah; and

17. Dell Medical School, University of Texas Austin, Austin, Texas

Abstract

The Seamless Transitions and (Re)admissions Network (STARNet) met in December 2012 to synthesize ongoing hospital-to-home transition work, discuss goals, and develop a plan to centralize transition information in the future. STARNet participants consisted of experts in the field of pediatric hospital medicine quality improvement and research, and included physicians and key stakeholders from hospital groups, private payers, as well as representatives from current transition collaboratives. In this report, we (1) review the current knowledge regarding hospital-to-home transitions; (2) outline the challenges of measuring and reducing readmissions; and (3) highlight research gaps and list potential measures for transition quality. STARNet met with the support of the American Academy of Pediatrics’ Quality Improvement Innovation Networks and the Section on Hospital Medicine.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference83 articles.

1. Society of Hospital Medicine. BOOST, Better Outcomes by Optimizing Safe Transitions. Available at: www.hospitalmedicine.org/AM/Template.cfm?Section=Home&TEMPLATE=/CM/HTMLDisplay.cfm&CONTENTID=27659. Accessed November 3, 2013

2. Boston Medical Center. Project RED: Re-Engineered Discharge. Available at: https://www.bu.edu/fammed/projectred/. Accessed April 15, 2014

3. Institute for Healthcare Improvement. STAAAR: State Action on Avoidable Rehospitalizations. Available at: www.ihi.org/engage/Initiatives/completed/STAAR/Pages/default.aspx. Accessed April 15, 2014

4. Improving the quality of transitional care for persons with complex care needs.;Coleman;J Am Geriatr Soc,2003

5. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.;Kripalani;J Hosp Med,2007

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