Expanding Access to Comprehensive Geriatrics Care Via Telehealth — TeleGRACE  

Geriatric Syndrome Clinical Trial

Official title: Expanding Access to Comprehensive Geriatrics Care Via Telehealth (QUE 20-010)

Status Terminated

Clinical Trial Summary

The overall objective of the TeleGRACE project is to improve the care and outcomes of older Veterans with a recent inpatient stay by expanding access to the evidence-based GRACE program, by evaluating a telehealth implementation.

Clinical Trial Description

The TeleGRACE evaluation will focus on three primary aims and a secondary aim:

Primary Aim 1: To examine the effectiveness of the TeleGRACE program, the investigators designed a randomized controlled implementation trial (RCT) powered for the primary outcome of 90-day all-cause mortality. The investigators will also examine its effectiveness for the secondary outcomes including 90-day readmissions, 1-year ED utilization (VA and non-VA), 1-year all-cause readmissions, 1-year mortality, as well as patient, caregiver, and staff satisfaction. The investigators hypothesize that patients who receive TeleGRACE will have lower 90-day mortality than patients in usual care.

Primary Aim 2: to examine the implementation of the TeleGRACE program. The implementation strategy is reflecting & evaluating. Implementation outcomes are based on the REAIM framework and include reach, efficacy (Aim 1), and implementation (total number of Veterans served, fidelity).

Primary Aim 3: to conduct a business-case analysis (BCA). The business case analysis will calculate the net financial savings or loss for TeleGRACE as the difference in the overall intervention costs and savings due to downstream benefits for patients receiving TeleGRACE versus usual care controls. ;

Related Conditions & MeSH terms

• Geriatric Syndrome

• NCT number: NCT05166603
• Study type: Interventional
• Source: VA Office of Research and Development
• Status: Terminated
• Phase: N/A
• Start date: October 18, 2021
• Completion date: April 29, 2022