From: Monique Parrish [mparrish@lifecourse-strategies.com]
Sent: Thursday, July 12, 2007 1:32 PM
To: Greb, Evalyn
Subject: Care Transitions Answers

Importance: High


Hi Evalyn --

Thank you so much for your kind message this morning.  I really enjoyed
doing the presentation and facilitation.  And, I enjoy working with you.
So you are the bomb!

Below are the responses from Dr. Coleman to the questions asked by
participants yesterday (first one from Dr. White and second from another
gentleman).

I will get out my receipts ASAP. Thanks again.

Monique
 
Monique Parrish, DrPH, MPH, LCSW
LifeCourse Strategies
P.O. Box 877
Orinda, CA 94563
Phone: 925.254.0522
Fax: 360-639-0397
www.lifecourse-strategies.com
 


-----Original Message-----
From: Eric.Coleman@UCHSC.edu [mailto:Eric.Coleman@UCHSC.edu] 
Sent: Thursday, July 12, 2007 1:08 PM
To: mparrish@lifecourse-strategies.com
Subject: RE: Presentation at Physician's Grand Rounds

Hi Monique

Please see my responses to the two questions below:

1.  One of the physician attendees asked about the slide regarding
savings (For 350 chronically ill older adults with an initial
hospitalization, anticipated net costs savings over 12 months: US$
295,594) and wanted to know what exactly the figure was culled from,
e.g., just readmission savings, savings from readmission minus the cost
of the Transition Coaches (I noted that the project was funded by
Hartford but was not sure if the cost of the TC was figured in the
estimated savings), etc.  I do remember you have been asked that before
but did not remember the specifics.

This was a net figure, subtracting off salary, benefits, cell phone,
pager, mileage, parking and reflects savings in mean hospital costs

2.  Another attendee asked about whether those patients living alone
differed in their ability to fully embrace the principles of empowerment
compared to those with caregivers?  He was interested in how the
intervention would apply to seniors living alone.

I suppose the real answer is that "it depends".  Some folks who lived
alone were very independent and welcomed the coach's focus on keeping
them independent and getting needs met.

Conversely, some participants lived with folks who faced more challenges
from their chronic condition than they did so these folks were juggling
how to recover themselves but also having to quickly return to full time
caregiving duties.

Overall, living alone versus living with someone else in and of itself
didn't seem to predict how well they would do