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Rural Options At Discharge Model of Active Planning (ROADMAP)
Investigator (PI): Seekins, Tom
Performing Organization (PO): (Current): University of Montana, Research and Training Center on Disability in Rural Communities / (888) 268-2743
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2013
Final Year: 2018
Record Source/Award ID: PCORI/AD-12-11-4788
Funding: Total Award Amount: $1,852,820
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Our market-based medical care delivery system does not serve rural residents very well. For rural residents with multiple chronic conditions, getting to a hospital and then getting back home to recover exposes the gaps in service, as well as the poor treatment they get. It exposes the current urban bias. Indeed, discharge planning when one leaves the hospital to go home has been described as a "black hole," fragmented and uncoordinated. The specific aim of this research is to involve patients and rural providers in designing rural options at discharge model of active planning (ROADMAP) that improves patient outcomes and reduces disparities. We propose to work in four counties of the Missoula Hospital Referral Region. The total population of the area is 53,116 people living on 12,342 square miles (4.3 persons per square mile). We will recruit patients seeking treatment from St. Patrick Hospital. Patients and patient advocates will help design the ROADMAP. Researchers will evaluate its effectiveness compared to standard treatment. Incorporating patient and provider input increases the likelihood it will be used. We expect that ROADMAP will reduce re-hospitalization by 30% and improve patient recovery and return to an active life. Assuming that half of the discharges to rural communities benefit from this process, we estimate that a comprehensive rural ROADMAP could save as much as $2 billion annually.
MeSH Terms:
  • Delivery of Health Care
  • Geography
  • Health Care Costs
  • Health Services Research
  • Healthcare Disparities
  • Hospitalization
  • Humans
  • Montana
  • Outcome Assessment (Health Care)
  • * Patient Discharge
  • Patient Preference
  • Patient Satisfaction
  • Rural Health Services /*organization & administration
  • Rural Population
Country: United States
State: Montana
Zip Code: 59812
UI: 20143229
Project Status: Completed
Record History: ('2017: Project extended to 2018.',)