Oral Presentation Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2025

Investigating clinical outcomes of Transitional Aged Care Programme (TACP) patients transferred through Hospital in the Home (HITH) (119011)

Alan Truong 1 , Nicholas Mills 1 , ornagh griffin 1 , Sandy Beveridge 1
  1. Geriatric Medicine, St Vincent's Hospital Sydney, Darlinghurst, NSW, Australia

Background: Patients approved for TACP often remain in hospital unnecessarily until their package commences. Delayed discharges increase the risk of hospital-acquired complications (HAC) and healthcare costs. St Vincent’s Hospital Sydney HITH provides a novel pathway for patients to be transferred home with multidisciplinary care until TACP commences, including before ACAT approval.

 

Aims: To investigate clinical outcomes of the HITH-to-TACP pathway and evaluate economic savings.

 

Methods: Retrospective cohort study of inpatients discharged with TACP at a tertiary-level, single centre. Group 1: Patients transferred through HITH-to-TACP (2019-2024). Group 2: Age- and sex-matched controls between 2014-2017 (pre-HITH-to-TACP). Primary outcomes: Hospital length-of-stay (LOS), HAC incidents, 30-day readmissions. Secondary outcomes: LOS on TACP and HITH, TACP functional scores (Barthel Index), destination at TACP conclusion. Economic savings calculated as HITH days x (inpatient bed cost - HITH bed cost).

 

Results: 296 patients (n=148 per group), median age 84 years, 49% female. Groups had comparable Charlson Comorbidity Index, Clinical Frailty Scales, cognitive impairment and polypharmacy. HITH-to-TACP group had shorter median hospital LOS (9.0 vs 11.0 days, p=0.00014), fewer HAC incidents (13 vs 32) and similar 30-day readmissions (18.9% vs 18.2%). No significant difference in TACP LOS or magnitude of functional improvement. At TACP completion, 81% vs 74% remained at home (OR 1.48, p=0.209). Median HITH LOS was 5 days, saving 728 bed-days and $1,372,903 over the five-year study period.

 

Conclusions: The HITH-to-TACP pathway reduced hospital LOS, HAC burden and healthcare costs without increasing 30-day readmissions, presenting a cost-effective approach to improve patient flow while maintaining clinical outcomes.