Disease, Chronic Clinical Trial
Official title:
PharmD Transitions of Care Program (PHARMD-TOC): A Community Pharmacy Transitions of Care Program
Verified date | February 2020 |
Source | University of California, San Diego |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Many hospitals and medical groups have developed transitions of care (TOC) programs or procedures in an attempt to reduce hospital readmission and reutilization rates of patients discharged from the hospital. As healthcare's most accessible practitioners, Community Pharmacists have a unique opportunity to assist with reducing unnecessary hospital re-utilization (re-admissions and emergency department visits) after hospital discharge. The purpose of this study is to conduct and evaluate the implementation of a Community Pharmacy-based Transitions of Care (TOC) Program for high-risk post-discharge patients of PIH Health Hospital-Whittier (PIH). The primary objective will be to compare the proportion of patients with hospital re-utilization (readmission, observation status, ED visits) during 30-days post hospital discharge between patients randomly assigned to the PHARMD-TOC group vs. the historic rate at PIH. Secondary analyses will examine differences between groups and describe implementation details of the PHARMD-TOC model of patient care.
Status | Withdrawn |
Enrollment | 0 |
Est. completion date | February 10, 2020 |
Est. primary completion date | February 10, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - - Admission LACE Score: in moderate range (5 to 9) And - Taking high risk medication(s): anticoagulants, insulin, oral antiplatelet agents, oral hypoglycemic agents, opioid analgesics, digoxin Or Taking at least 5 medications AND have one of following: CHF, COPD, Asthma, Pneumonia, Diabetes, ESRD, Schizophrenia, Bi-Polar, Dizziness, History of Falls And - Medical or Surgical Unit patients - Age > 18 years - Being discharged to home (with or without Home Health services) - English and/or Spanish speaking - Will have access to a telephone post-discharge - Ability to give consent - Patient admitted to hospital through the emergency department, as a direct admission or as a transfer, or as an elective surgery patient Exclusion Criteria: - - Patients with observation status - Caremore Health Plan patients (Caremore has a separate post-discharge program) - Patients discharged and followed up by the PIH Coumadin Clinic - Patients discharged to Residential MD House Calls program - Patients discharged to Skilled Nursing Facility - Anyone with planned readmissions - Obstetrics patients - Hospice patients - Oncology patients - Anyone who does not meet provisions of protocol - Anyone unwilling or unable to give consent for study procedures and data access |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
University of California, San Diego |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Proportion Patients with Hospital Reutilization | proportion of patients with hospital re-utilization (readmission, observation status, ED visits) during 30-days post hospital discharge | 30 days post hospital discharge |
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT04999189 -
The Effectiveness of Using a Mobile Application for Type 2 Diabetes Self-care
|
N/A | |
Completed |
NCT03274271 -
Efficacy of Different Behaviour Change Techniques in MyPlan 2.0
|
N/A | |
Completed |
NCT04241133 -
The UnProcessed Pantry Project (UP3)
|
N/A | |
Completed |
NCT03167658 -
The Impact of Employee Wellness Programs
|
N/A | |
Completed |
NCT05282342 -
Heart Transplant Patients, Health Status and Physical Activity
|
||
Completed |
NCT05186311 -
BD MiniDraw™ Capillary System Clinical Equivalence Study
|
||
Recruiting |
NCT05799430 -
Medication Review in Chronic Complex or Polymedicated Patients After Hospital Discharge.
|
N/A |