Integrative hospital treatment in older patients to benchmark and improve outcome and length of stay - the InHospiTOOL study

Kutz, Alexander and Koch, Daniel and Conca, Antoinette and Baechli, Ciril and Haubitz, Sebastian and Regez, Katharina and Schild, Ursula and Caldara, Zeljka and Ebrahimi, Fahim and Bassetti, Stefano and Eckstein, Jens and Beer, Juerg and Egloff, Michael and Kaplan, Vladimir and Ehmann, Tobias and Hoess, Claus and Schaad, Heinz and Wagner, Ulrich and De Geest, Sabina and Schuetz, Philipp and Mueller, Beat. (2019) Integrative hospital treatment in older patients to benchmark and improve outcome and length of stay - the InHospiTOOL study. BMC Health Services Research, 19. ARTN 237.

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Official URL: https://edoc.unibas.ch/70472/

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Background: A comprehensive in-hospital patient management with reasonable and economic resource allocation is arguably the major challenge of health-care systems worldwide, especially in elderly, frail, and polymorbid patients. The need for patient management tools to improve the transition process and allocation of health care resources in routine clinical care particularly for the inpatient setting is obvious. To address these issues, a large prospective trial is warranted. Methods: The Integrative Hospital Treatment in Older patients to benchmark and improve Outcome and Length of stay (In-HospiTOOL) study is an investigator-initiated, multicenter effectiveness trial to compare the effects of a novel in-hospital management tool on length of hospital stay, readmission rate, quality of care, and other clinical outcomes using a time-series model. The study aims to include approximately 35`000 polymorbid medical patients over an 18-month period, divided in an observation, implementation, and intervention phase. Detailed data on treatment and outcome of polymorbid medical patients during the in-hospital stay and after 30days will be gathered to investigate differences in resource use, inter-professional collaborations and to establish representative benchmarking data to promote measurement and display of quality of care data across seven Swiss hospitals. The trial will inform whether the In-HospiTOOL optimizes inter-professional collaboration and thereby reduces length of hospital stay without harming subjective and objective patient-oriented outcome markers. Discussion: Many of the current quality-mirroring tools do not reflect the real need and use of resources, especially in polymorbid and elderly patients. In addition, a validated tool for optimization of patient transition and discharge processes is still missing. The proposed multicenter effectiveness trial has potential to improve interprofessional collaboration and optimizes resource allocation from hospital admission to discharge. The results will enable inter-hospital comparison of transition processes and accomplish a benchmarking for inpatient care quality.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft > Pflegewissenschaft (De Geest)
UniBasel Contributors:De Geest, Sabina M.
Item Type:Article, refereed
Article Subtype:Research Article
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:30 Jun 2020 11:54
Deposited On:30 Jun 2020 11:54

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