A new intervention improved the quality of transitional care but did not affect 30-day readmissions or emergency department use, according to an evaluation led by CHSE collaborator Honora Englander. CHSE analyst Benjamin Chan contributed to the project, with Leann Michaels and Devan Kansagara as other co-authors.  

The paper, in the Journal of General Internal Medicine, looked at whether the "C-TraIn" intervention would improve post-discharge outcomes for adults who were low-income and uninsured or covered by public health insurance. The intervention included nurse coaching, pharmacy assistance, assistance with arranging primary-care follow-up, and systems integration with continuous quality improvement.