Evidence map›Paper›PMID 40369388›Full record

ArticleJournal of general internal medicine2025

Connect Care Project, Bridging the Gap Between Acute and Post-Acute Care.

Housam Hegazy, Koh-Eun Narm, Brian Pratt, Tiffany Bell, James Mangano, Tara Mathews, Sakshi Dutta, Christopher P Morley, Alyssa M Indelicato, Ilona Chepak and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Housam HegazyDivision of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA. drhhegazy@gmail.com.ORCID 0000-0002-2038-0552
Koh-Eun NarmDivision of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Brian PrattDivision of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Tiffany BellDivision of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA.
James ManganoEmergency Department, State University of New York Upstate Medical University, Syracuse, USA.
Tara MathewsDivision of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Sakshi DuttaDivision of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Christopher P MorleyDepartment of Public Health & Preventive Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Alyssa M IndelicatoDepartment of Public Health & Preventive Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Ilona ChepakDivision of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Harvir Singh GambhirDivision of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Zachary ShepherdDivision of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA.
Amy TuckerDepartment of Internal Medicine, State University of New York Upstate Medical University, Syracuse, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospitals in the USA face increasing challenges with access and capacity, prompting strategies to optimize resources, enhance throughput, and improve patient care access.

objectiveThis study assesses the impact of an innovative clinic-based ambulatory service as an alternative to hospital-based outpatient care, including observation stays and emergency department (ED) follow-up. SETTING AND

participantsA retrospective review of observation-status medical admissions from March 2020 to April 2023 at SUNY Upstate University Hospital. Patients presented to the SUNY Upstate ED. PROGRAM DESCRIPTION: The Connect Care Project (CCP) introduced an ED-based hospitalist triage team and a hospitalist-led Connect Care (CC) clinic. The triage team identified ED patients needing expedited outpatient workup or close monitoring and follow up. Instead of hospital observation or ED follow up, these patients were referred to the CC clinic for needed workup, close monitoring, or follow-up. PROGRAM EVALUATION AND

resultsAdmissions under observation were compared 13 months before and after CCP implementation (November 2021). Chest pain, a common observation reason, was closely analyzed. Of 305,207 ED visits, observation admissions -especially for chest pain -significantly declined after CCP implementation. DISCUSSION: The CCP model improved capacity, reduced cost, and streamlined patient flow. It is adaptable for broader implementation.

Indexed as

Ambulatory CareEmergency Service, HospitalSubacute CareTriageAdultAgedFemaleHospitalistsHumansMaleMiddle AgedProgram EvaluationRetrospective Studies

Identifiers

PMID40369388
PMCPMC12343368

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.