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And 3 will be out there in Spring 2014.) Patient Acceptability: Amongst sufferers completing all 3 sessions across the 3 clinics to date (n =100), 35 (65 ) patients responded towards the postintervention patient practical experience survey. Sixty-three (97 ) respondents reported excellent session length is at least 30 mins. Forty-one (63 ) wanted extra sessions. Thirty-three (56 ) would have found the addition of telephone sessions useful; e mail, text messages, and on the internet assistance were viewed 773 Tacken Street Flint Mi significantly less favorably. Two-thirds responded that education on taking medications, following a DASH diet, reading meals labels, and exercise had been each very valuable in controlling BP; half reported that fat reduction and BP self-monitoring education were really beneficial. Effectiveness: BP control information are pending. Among our survey respondents, imply reduction in individual systolic BP and diastolic BP was 5.4 mmHg (SD = 16.9) and 4.five mmHg (SD= 9.7), respectively, in between sessions 1 and 3. BP improvement was connected with trust in care managers, medication adherence, creating a BP therapy strategy the patient could carry out in everyday life, and patient self-assurance to actually do the things required to look after one's BP. Essential LESSONS FOR DISSEMINATION (WHAT CAN Others TAKE A AY W FOR IMPLEMENTATION TO THEIR PRACTICE OR Neighborhood?): Integrating CM programs into clinical settings is difficult. Looking for provider and staff input through the design and style phase, encouraging CM phone outreach to and physician referral of 25837696 25837696 eligible patients, and allowing nearby adaptation in the intervention can enhance adoption. Sufferers are highly happy with care managers and value illness education and behavior alter support. Preliminary outcomes suggest building a realistic patient treatment program and escalating self-efficacy via CM will assist boost BP. TRANSFORMING CARE TRANSITIONS: IMPLEMENTING PROJECT RED AT A VETERANS AFFAIRS Healthcare CENTER Melissa Bachhuber2,1; Jeanette Broering3,1; Christine Welles4; Margaret Wallhagen3. 1San Francisco VA Medical Center, San Francisco, CA; 2University of California San Francisco, San Francisco, CA; 3University of California San Francisco, San Francisco, CA; four University of Colorado, Denver, CO. (Tracking ID #1937156) STATEMENT OF Challenge OR Question (1 SENTENCE): The San Francisco Veterans Affairs Medical Center information demonstrate that Veterans over age 65 have 16.eight and 28.6 30 and 90 day all-cause readmission rates, respectively. Extensive methods to reduce readmissions are needed. OBJECTIVES OF PROGRAM/INTERVENTION (NO Greater than Three OBJECTIVES): To implement the evidenced-based transitional care model, Reengineered Discharge (Project RED) on the inpatient medicine service for high danger Veterans in an effort to cut down 30 and 90 day all-cause hospital readmissions. DESCRIPTION OF PROGRAM/INTERVENTION, Such as ORGANIZATIONAL CONTEXT (E.G. INPATIENT VS. OUTPATIENT, PRACTICE OR Neighborhood Qualities): 5 Project RED nurse care coordinators were assigned to each inpatient medicine team at a Veterans Affairs Health-related Center. Care coordinators followed medicine inpatients primarily based on high risk criteria including: Age >65, >10 drugs, homeless status, substance abuse or mental health comorbidity, living alone, no assigned PCP, prior hospitalization within previous 90 days, >3 ER visits in 6 months, and admission diagnoses including CHF, pneumonia, or ischemic heart illness. Care coordinators supplied complete discharge organizing, care coordina.