Model Home-Delivered Meals Program to Support Transitions from Hospital to Home

Meals On Wheels, Inc. of Tarrant County (MOWI) collaborated with local community-based organizations and hospitals to provide home-delivered meals and an evidence-based medication management intervention as a care transition service. The model program was designed to address risk factors commonly as...

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Bibliographic Details
Published in:Journal of nutrition in gerontology and geriatrics 2015-04, Vol.34 (2), p.207-217
Main Authors: Cho, Jinmyoung, Thorud, Jennifer L, Marishak-Simon, Sherry, Frawley, Lilly, Stevens, Alan B
Format: Article
Language:English
Subjects:
Clinical outcomes
Community Health Services
Community organizations
drug therapy
ED visits
Emergency Medical Services - statistics & numerical data
Food Services
health services
Health services utilization
Home Care Services
Home delivery services
home-delivered meals
hospital utilization
Hospitalization
Hospitals
Humans
Meals
Meals On Wheels
Nursing
Patient admissions
Patient Discharge
Patient Readmission - statistics & numerical data
patients
risk factors
Transitional Care
Transitions
wheels
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Summary:Meals On Wheels, Inc. of Tarrant County (MOWI) collaborated with local community-based organizations and hospitals to provide home-delivered meals and an evidence-based medication management intervention as a care transition service. The model program was designed to address risk factors commonly associated with preventable hospital readmissions. MOWI staff provided meals to 121 patients recently discharged from an inpatient hospitalization or emergency department visit from March 2013 through March 2014. A total of 18,010 meals were delivered to the 121 clients. On average, clients received 6.25 meals per week with meal delivery starting, on average, 8.95 days postdischarge. Ninety-three of the 121 clients also elected to receive the HomeMeds program. Client self-report of health care utilization (e.g., hospital readmission) at three months and six months was lower than expected given client characteristics. Positive changes in the Emergent Care Assessment and resolution of medication alerts provide additional evidence of a positive effect of the home-delivered meals program. More research is needed to document the benefits of home-based care supports following hospitalization.
ISSN:2155-1200
2155-1197
2155-1200
DOI:10.1080/21551197.2015.1031598