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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04556786
Other study ID # 18-342 EX 1809
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date October 2, 2018
Est. completion date July 16, 2019

Study information

Verified date September 2020
Source Auburn University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study was to show the value of pharmacists in providing transitions of care to and improving health outcomes of uninsured populations. It also aimed to demonstrate the feasibility of implementing a transitions of care program in an indigent care clinic with limited resources. We hypothesized that a pharmacist-led transitions of care program will reduce 30-day hospital readmission rates among the uninsured discharged from a community hospital.


Recruitment information / eligibility

Status Completed
Enrollment 88
Est. completion date July 16, 2019
Est. primary completion date July 16, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Aged 18 years old or older

- Uninsured

- English speaking

- Discharged from East Alabama Medical Center within the past 16 days

Exclusion Criteria:

- Patients who did not show up for the first follow-up visit with the study pharmacist after being referred by the care coordinator at East Alabama Medical Center

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Transitions of care
The intervention was a pharmacist-led transitions of care program that include medication reconciliation, daily schedule for medication taking and medical condition monitoring, and follow-up phone calls from a pharmacist at 60- and 90-day post-discharge in addition to the usual care.

Locations

Country Name City State
United States Mercy Medical Clinic Auburn Alabama

Sponsors (1)

Lead Sponsor Collaborator
Auburn University

Country where clinical trial is conducted

United States, 

References & Publications (4)

Crotty M, Rowett D, Spurling L, Giles LC, Phillips PA. Does the addition of a pharmacist transition coordinator improve evidence-based medication management and health outcomes in older adults moving from the hospital to a long-term care facility? Results of a randomized, controlled trial. Am J Geriatr Pharmacother. 2004 Dec;2(4):257-64. — View Citation

Englander H, Kansagara D. Planning and designing the care transitions innovation (C-Train) for uninsured and Medicaid patients. J Hosp Med. 2012 Sep;7(7):524-9. doi: 10.1002/jhm.1926. Epub 2012 Mar 12. — View Citation

Hawes EM, Maxwell WD, White SF, Mangun J, Lin FC. Impact of an outpatient pharmacist intervention on medication discrepancies and health care resource utilization in posthospitalization care transitions. J Prim Care Community Health. 2014 Jan 1;5(1):14-8. doi: 10.1177/2150131913502489. Epub 2013 Sep 17. — View Citation

Phatak A, Prusi R, Ward B, Hansen LO, Williams MV, Vetter E, Chapman N, Postelnick M. Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). J Hosp Med. 2016 Jan;11(1):39-44. doi: 10.1002/jhm.2493. Epub 2015 Oct 5. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary 30-day hospital readmission Whether a study participant had any hospital readmission 30-day post-discharge 30-day post-discharge
Secondary 60-day hospital readmission Whether a study participant had any hospital readmission 60-day post-discharge 60-day post-discharge
Secondary 90-day hospital readmission Whether a study participant had any hospital readmission 90-day post-discharge 90-day post-discharge
Secondary 30-day emergency department (ED) visit Number of ED visits among study participants in each study arm 30-day post-discharge 30-day post-discharge
Secondary 60-day emergency department (ED) visit Number of ED visits among study participants in each study arm 60-day post-discharge 60-day post-discharge
Secondary 90-day emergency department (ED) visit Number of ED visits among study participants in each study arm 90-day post-discharge 90-day post-discharge
Secondary 30-day follow-up visit with a primary care provider Did a study participant keep a follow-up appointment with a primary care provider 30-day post-discharge
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