Caregiver Stress Clinical Trial
Official title:
Enhancing and Scaling a High-Touch Home-based Primary Care Program
The overall goal of the West Health Institute-Northwell PRP is to identify a clinical and economic model that can support scaling the Northwell House Calls program within a four year implementation period, while maintaining the same level of quality, patient/caregiver satisfaction, and "high touch" provider-patient communication that the program is known for. The Clinical Trial portion of this study refers to the secondary endpoint listed below.
Primary Endpoint: Northwell's House Calls program will be effectively scaled to maintain a
patient census of 2000 without compromising patient and caregiver satisfaction.
Secondary Endpoint: The telehealth platform, Avizia, effectively improves communication of
patient and caregiver needs to House Calls staff, and overall program satisfaction.
In order to achieve the secondary endpoint, a telehealth platform will be implemented that
will allow patients and their caregivers to teleconference with their care manager, who is
either a nurse or a social worker, replacing a typical visit which is completed
telephonically.
Hypotheses to be tested through a home based telehealth intervention :
- Maintain longitudinal non-inferiority of: in-person acute care home visits from a
provider, in-person acute care home visits from a care manager, hospitalizations, ED
visits, Community Paramedicine deployments, Community Paramedicine transports to
hospital, the patient's acuity level, LACE Score, Charelson Co-Morbidity score and the
total number of ADLs group compared to usual care group.
- Telehealth acceptability
- decrease caregiver stress
- Improve program satisfaction
- Improve staff satisfaction and engagement
;
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