Implementation of the Hospital to Home (H2H) Heart Failure Initiative

Heart Failure Clinical Trial

Official title:

Implementation of the Hospital to Home (H2H) Heart Failure Initiative

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02148341
• Other study ID #: SDP-09-160
• Status: Completed
• Phase: N/A
• First received: February 12, 2013
• Last updated: May 27, 2014
• Start date: January 2010
• Est. completion date: July 2013

Study information

• Verified date: February 2013
• Source: VA Palo Alto Health Care System
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial Summary

This study determines if a community of practice of clinicians and quality improvement specialists can be used to implement a national quality initiative known as Hospital to Home (H2H). This quality initative is designed to reduced readmission rates for patients with heart failure or heart attack by improving the transition of care upon discharge.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 122
• Est. completion date: July 2013
• Est. primary completion date: July 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• VA medical centers are the unit of randomization. A medical center will be included if had at least 20 patients discharged with a principal diagnosis of heart failure in 2008

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Heart Failure

Intervention

Other:
• Community of Practice Facilitation

• Usual Care

Locations

Country	Name	City	State
United States	VA Palo Alto Health Care System	Palo Alto	California

Sponsors (1)

Lead Sponsor	Collaborator
VA Palo Alto Health Care System

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	H2H enrollment	H2H enrollment by the facility as determined by the H2H program of the American College of Cardiology and Institute for Healthcare Improvement	6 months	No
Secondary	quality improvement programs initiated due to H2H	A new quality improvement initiated that addressess one of the 3 areas of H2H focus. These include, medication reconcilliation, early follow-up after discharge, and symptom recognition.	6 months	No