Outcomes with and without the intervention
| Outcome measures | With the intervention (n=433) | Without the intervention (n=231) | P value |
| ED visits within 7 days after discharge | 10.6% | 10.8% | 0.9366 |
| ED visits within 30 days after discharge | 30.5% | 33.3% | 0.4593 |
| 7-day inpatient readmissions | 7.6% | 5.2% | 0.2408 |
| 30-day inpatient readmission | 22.7% | 20.8% | 0.5737 |
| 90-day inpatient readmission | 39.3% | 44.6% | 0.1862 |
| 6-month inpatient readmission | 50.9% | 58.4% | 0.0650 |
ED, emergency department.