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Record W4407426834 · doi:10.1016/j.jamda.2025.105488

A Program to Reduce Emergency Department Transfers and Build Long-Term Care Home Capacity: A Mixed-Methods Study

2025· article· en· W4407426834 on OpenAlexafffund
Geetha Mukerji, Leahora Rotteau, Joanne Goldman, Amol A. Verma, Kaveh G Shojania, Fahad Razak, Sid Feldman, Patricia Rios, Laura Pus, Pauline Pariser, Tara O’Brien, Andrea Moser, Brian M. Wong

Bibliographic record

VenueJournal of the American Medical Directors Association · 2025
Typearticle
Languageen
FieldHealth Professions
TopicGeriatric Care and Nursing Homes
Canadian institutionsBaycrest HospitalSunnybrook Health Science CentreSt. Michael's HospitalThe Wilson CentreUniversity of TorontoWomen's College Hospital
FundersCanadian Institutes of Health Research
KeywordsMedicineEmergency departmentTerm (time)Long-term careMedical emergencyNursing

Abstract

fetched live from OpenAlex

OBJECTIVES: Transfers to acute care hospitals expose long-term care residents to potential harm. We implemented Long-Term Care Plus (LTC+) at the outset of the COVID-19 pandemic to reduce emergency department (ED) transfers and improve access to urgent medical services by providing virtual specialist consultation, system navigation, and diagnostic and laboratory testing to 54 long-term care homes (LTCHs). DESIGN: This mixed-methods study aimed to determine if LTC+ led to a decrease in avoidable acute care transfers and to explore participants' perceptions and contextual factors influencing uptake. SETTING AND PARTICIPANTS: LTC+ was implemented across 54 LTCHs and 3 hospital hubs in Toronto, Canada. METHODS: Statistical process control charts were created to detect changes in ED transfer rates, stratifying data into high- and low-uptake LTCHs to evaluate the effect of LTC+ on ED transfer rates across 54 LTCHs. Semi-structured interviews were conducted with health care providers, administrators, residents, and caregivers across 6 LTCHs and 3 hospital hubs and analyzed thematically. RESULTS: There were 9658 ED transfers during the study period (April 2020 to March 2022), of which 3860 (40.0%) did not require admission. LTC+ delivered 534 virtual consultations, with 5 LTCHs accounting for 59% of program use. Compared with baseline (January 2019 to February 2020), transfer rates decreased by 40%, with no difference seen between LTCHs with high vs low uptake. Factors influencing uptake include program awareness, motivation, alignment of LTCH resources and program services, and commitment to ED avoidance. CONCLUSIONS AND IMPLICATIONS: The LTC+ program did not reduce ED transfers beyond secular trends attributable to the broader effects of the COVID-19 pandemic. Participants that used LTC+ identified important benefits that extended beyond ED avoidance including building self-efficacy and capacity in LTCHs to provide client-centered care with cross-sectoral collaboration. Refinements to the LTC+ program design and delivery and structural changes are needed to increase impact.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.007
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.016
Threshold uncertainty score0.033

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.007
Meta-epidemiology (narrow)0.0020.002
Meta-epidemiology (broad)0.0020.003
Bibliometrics0.0010.001
Science and technology studies0.0030.001
Scholarly communication0.0020.003
Open science0.0020.002
Research integrity0.0030.003
Insufficient payload (model declined to judge)0.0050.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.442
Teacher spread0.425 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2025
Admission routes2
Has abstractno

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