Individualized care plans developed by a multidisciplinary team and integrated into an electronic health record at the time of hospitalization appear to reduce healthcare use and costs among high users of healthcare services, according to a study. When compared with a pre-intervention period, investigators observed the following:

  6 months post-initiation 12 months post-initiation
Hospital admissions -56.0% -50.5%
30-day readmissions -66.0% -51.5%
Inpatient variable direct costs -47.7% -35.8%

Source: Hospitalist, July 6, 2015.