Improving evidence-based grouping of transitional care strategies in hospital implementation using statistical tools and expert review

Li, Jing; Du, Gaixin; Clouser, Jessica Miller; Stromberg, Arnold; Mays, Glen; Sorra, Joann; Brock, Jane; Davis, Terry; Mitchell, Suzanne; Nguyen, Huong Q.; Williams, Mark V.

doi:10.1186/s12913-020-06020-9

Table 8 Latent Class Analysis Results

From: Improving evidence-based grouping of transitional care strategies in hospital implementation using statistical tools and expert review

	Item Response Probability
TC Strategies from Patient Survey	Group 1	Group 2	Group 3	Group 4	Group 5	Group 6	Group 7
Proportion of sample within each group	0.42	0.12	0.11	0.11	0.10	0.08	0.07
Plain Language Communication at Hospital ^b	0.99^***	0.88^*	0.15	0.05	0.93^*	0.05	0.90^*
Promote Trust at Hospital	0.97^**	0.94^*	0.08	0.05	0.61	0.07	0.75^*
Teach Back for Information and Skills ^a	0.91^*	0.41	0.31	0.90^*	0.65	0.03	0.00
Follow-Up Appointment ^a	0.93^*	0.80^*	0.80^*	0.90^*	0.81^*	0.64	0.65
Helpful Health Care Contact	0.94^*	0.76^*	0.45	0.73	0.75^*	0.27	0.66
Post-Discharge Care Consultation ^a	0.97^**	0.56	0.54	0.93^*	0.76^*	0.08	0.24
Referral to Community Services ^a	0.81^*	0.74	0.74	0.79^*	0.71	0.61	0.73
Symptom Management	0.82^*	0.27	0.07	0.04	0.60	0.00	0.10
Home Visits Received ^a	0.55	0.62	0.28	0.18	0.55	0.50	0.77^*
Plain Language Communication at Home	0.99^***	0.86^*	0.66	1.00^***	0.86^*	0.08	0.33
Promote Trust at Home	0.98^**	0.97^**	0.55	0.96^**	0.35	0.12	0.26
TC Strategies from Hospital Survey	Group 1	Group 2	Group 3
Proportion of sample within each group	0.54	0.29	0.17
Identify High-Risk Patients and Intervene	0.99^***	0.43	0.72
Interdisciplinary Approach	0.99^***	0.91^*	0.98^**
Language Assessment	0.99^***	0.99^**	0.06
Medication Reconciliation	0.95^**	0.66	0.72
Patient/Family Caregiver TC Needs Assessment	0.73	0.43	0.45
Patient Goal/Preference Assessment	0.77^*	0.74	0.85^*
Plain Language Communication at Hospital ^b	0.27	0.73	0.42
Standardized Protocols	0.99^***	0.91^*	0.98^**
Teach Back for Information and Skills ^a	0.13	0.41	0.98^**
Transition Team	0.86^*	0.91^*	0.98^**
Transition Summary for Patient/Family Caregivers	0.91^*	0.75	0.85^*
Follow-up Appointment ^a	0.84^*	0.81^*	0.43
Post-Discharge Care Consultation ^a	0.56	0.58	0.98^**
Referral to Community Services ^a	0.61	0.91^*	0.56
Timely Exchange of Patient Information among Providers	0.95^**	0.02	0.71
Home Visits ^a	0.74	0.89^*	0.84^*

* > .75 ** > .95 *** > .99
Note: Item response probability indicates the proportion of participants in each latent class answered “yes” to each TC strategy. While there is no distinct threshold, we highlighted >.75 for the purposes of differential grouping
^a These 5 TC strategies were measured from both the patient survey and the hospital survey. The final model used the hospital TC implementation survey as the source for these 5 strategies
^b Plain language communication was measured from both the hospital and patient survey; the patient survey data were ultimately used in the final model

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