Cost-Effectiveness of a Care Transition Intervention Among Multimorbid Patients

Lani Zimmerman, Fernando A. Wilson, Myra S. Schmaderer, Leeza Struwe, Bunny Pozehl, Audrey Paulman, Lisa C. Bratzke, Kim Moore, Libby Raetz, Barb George

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


The purpose of this pilot study was to assess the cost-effectiveness of four different doses (based on patients’ level of cognition and activation) of a home-based care transitions intervention compared with usual care at 2 and 6 months after hospital discharge to home for 126 adult patients with three or more chronic diseases. Health care utilization was measured, and a cost-effectiveness analysis was used to estimate incremental costs and quality-adjusted life-years associated with each intervention arm. At 6 months, results from this pilot study are very promising and support cost-effectiveness for Group 2-low cognition/high activation, Group 3-normal cognition/low activation, and Group 4-normal cognition/high activation patients. However, Group 1-low cognition/low activation needs a more intensive treatment than what was provided in the intervention, because of their low cognition and activation levels. Our intervention strategies provided to the groups would be scalable to a larger patient population and across different facilities.

Original languageEnglish (US)
Pages (from-to)622-642
Number of pages21
JournalWestern journal of nursing research
Issue number5
StatePublished - May 1 2017


  • care transitions
  • cost-effective analysis
  • multimorbid
  • self-management

ASJC Scopus subject areas

  • General Nursing


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