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Information about ongoing health services research and public health projects
|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)|
|Record Source/Award ID:||PCORI/AD-12-11-4788|
|Funding:||Total Award Amount: $1,887,154|
|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.|
|Record History:||('2017: Project extended to 2018.',)|