Chronic Disease Clinical Trial
Official title:
The Impact of a Pharmacist-Led Transitional Care Program on Health Outcomes of Uninsured Populations
Verified date | September 2020 |
Source | Auburn University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
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 |
Country | Name | City | State |
---|---|---|---|
United States | Mercy Medical Clinic | Auburn | Alabama |
Lead Sponsor | Collaborator |
---|---|
Auburn University |
United States,
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
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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