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document
Outcomes in a nursing home transition case-management program targeting new admissions . PURPOSE The Providing Assistance to Caregivers in Transition ( PACT ) program offers nursing home discharge planning and case management for individuals in the transitional period following a return to the community . The PACT program targeted individuals newly admitted to nursing homes and worked with a family caregiver to develop and implement a nursing home discharge plan . DESIGN AND METHOD Reported are the results of a randomized control design evaluating the program 's effectiveness . Those individuals randomly assigned to the intervention group ( n = 33 ) received PACT case management in addition to their usual medical and nursing home care . The individuals in the control group ( n = 29 ) continued their usual care . RESULT There were no statistical differences in the discharge rate ( 84 % treatment vs 76 % controls ) or in the median length of stay ( 42 days vs 55 days ) between the two groups of individuals . IMPLICATIONS Replications or extensions of a PACT-type intervention might consider a broader mix of nursing homes , working directly with the nursing home 's admission Minimum Data Set coordinator in patient selection , or working with Medicare or Medicaid HMO plans .
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Intervention_Educational
Providing Assistance to Caregivers in Transition ( PACT ) program
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Intervention_Other
PACT program
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Intervention_Educational
PACT case management in addition to their usual medical and nursing home care
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Intervention_Educational
usual care
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Intervention_Educational
PACT-type intervention
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Outcome_Other
effectiveness
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Outcome_Other
differences in the discharge rate
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Outcome_Other
in the median length of stay
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Participant_Condition
individuals in the transitional period following a return to the community
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Participant_Condition
newly admitted to nursing homes
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Participant_Sample-size
n = 33
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Participant_Sample-size
n = 29