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

Table 9 Finite Mixture Model Results

TC Strategies from Patient Survey	Group 1	Group 2	Group 3
Variance Explained by Group	0.06	0.14	0.01
Plain Language Communication at Hospital ^b	−0.027	−0.029	−0.006
Promote Trust at Hospital	−0.088^***	− 0.005	− 0.006
Teach Back for Information and Skills ^a	− 0.019	0.014	− 0.015
Follow-Up Appointment ^a	− 0.135^***	− 0.064^**	− 0.051^***
Helpful Healthcare Contact	0.028	− 0.011	0.010
Post-Discharge Care Consultation ^a	0.008	−0.004	−0.012
Referral to Community Services ^a	−0.036	−0.089^***	0.004
Symptom Management	−0.069^***	0.021	0.003
Home Visits ^a	−0.140^***	0.067^***	−0.015
Plain Language Communication at Home ^b	−0.013	−0.017	0.001
Promote Trust at Home	0.029	0.012	0.003
TC Strategies from Hospital Survey	Group 1
Variance Explained by Group	.0007
Identify High-Risk Patients and Intervene	0.017
Language Assessment	−0.081^***
Medication Reconciliation	−0.053^***
Patient/Family Caregiver TC Needs Assessment	0.059^***
Patient Goal/Preference Assessment	0.023
Plain language Communication at Hospital ^b	0.050^***
Teach Back for Information and Skills	−0.003
Transition Summary for Patients and Family Caregivers	−0.045^*
Follow-up Appointment ^a	−0.037^*
Post-Discharge Care Consultation ^a	0.040^***
Referral to Community Services ^a	0.044^***
Timely Exchange of Critical Patient Information among Providers	−0.006
Home Visits ^a	−0.009

Note: Low total variance explained by each group demonstrate that TC strategies alone do not contribute much to variance in readmission outcomes. In addition, in the FMM conducted with hospital survey data, plain language communication and Transition Team together in the model showed strong multi-collinearity and would not converge. Therefore, we removed Transition Team
^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
^* p ≤ 0.05, ^**p ≤ 0.01, ^***p ≤ 0.001

ISSN: 1472-6963