Factors Correlated With Successful Pediatric Post-Discharge Phone Call Attempt and Connection

Amy Buczkowski, Department of Pediatrics, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, Maine.Follow
Wendy Craig, Maine Medical CenterFollow
Rebekah Holmes, Midwestern University - Chicago College of Osteopathic Medicine, Downers Grove, Illinois.
Dannielle Allen, University of New England College of Osteopathic Medicine, Biddeford, Maine.
Lee Longnecker, Department of Pediatrics, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, Maine.
Monica Kondrad, Department of Pediatrics, Drexel University College of Medicine, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.
Ann Carr, Department of Pediatrics, Drexel University College of Medicine, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.
Renee Turchi, Department of Pediatrics, Drexel University College of Medicine, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.
Sandra Gage, Department of Child Health, University of Arizona College of Medicine-Phoenix, Phoenix Children's Hospital, Phoenix, Arizona; and.
Snezana Nena Osorio, Department of Pediatrics, Weill Cornell Medicine, Komansky Children's Hospital, New York Presbyterian Hospital, New York, New York.
David Cooperberg, Department of Pediatrics, Drexel University College of Medicine, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.
Leah Mallory, Department of Pediatrics, The Barbara Bush Children's Hospital at Maine Medical Center, Portland, Maine.Follow

Document Type

Article

Publication Date

12-14-2022

Institution/Department

Pediatrics

Journal Title

Hospital Pediatrics

Abstract

OBJECTIVES: Postdischarge phone calls can identify discharge errors and gather information following hospital-to-home transitions. This study used the multisite Project IMPACT (Improving Pediatric Patient Centered Care Transitions) dataset to identify factors associated with postdischarge phone call attempt and connectivity. METHODS: This study included 0- to 18-year-old patients discharged from 4 sites between January 2014 and December 2017. We compared demographic and clinical factors between postdischarge call attempt and no-attempt and connectivity and no-connectivity subgroups and used mixed model logistic regression to identify significant independent predictors of call attempt and connectivity. RESULTS: Postdischarge calls were attempted for 5528 of 7725 (71.6%) discharges with successful connection for 3801 of 5528 (68.8%) calls. Connection rates varied significantly among sites (52% to 79%, P < .001). Age less than 30 days (P = .03; P = .01) and age 1 to 6 years (P = .04; P = .04) were independent positive predictors for both call attempt and connectivity, whereas English as preferred language (P < .001) and the chronic noncomplex clinical risk group (P = .02) were independent positive predictors for call attempt and connectivity, respectively. In contrast, readmission within 3 days (P = .004) and federal or state payor (P = .02) were negative independent predictors for call attempt and call connectivity, respectively. CONCLUSIONS: This study suggests that targeted interventions may improve postdischarge call attempt rates, such as investment in a reliable call model or improvement in interpreter use, and connectivity, such as enhanced population-based communication.

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