A Pharmacist-led Transitions of Care Program

Chronic Disease Clinical Trial

Official title:

The Impact of a Pharmacist-Led Transitional Care Program on Health Outcomes of Uninsured Populations

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04556786
• Other study ID #: 18-342 EX 1809
• Status: Completed
• Phase: N/A
• 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
• 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

Related Conditions & MeSH terms

• Chronic Disease

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

External Links

•   America's Health Rankings
•   Key Facts about the Uninsured Population