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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02090426
Other study ID # JPAL-763
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date June 2, 2014
Est. completion date January 2020

Study information

Verified date October 2020
Source Abdul Latif Jameel Poverty Action Lab
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This trial investigates the value created by the highly innovative Camden Coalition of Healthcare Providers' Care Management Program: Link2Care. The program targets "super-utilizers" of the health care system - specifically adults with 2 or more hospitalizations in the last six months 2 or more chronic conditions, and 5 or more outpatient medications - with intensive case management services. In particular, a team of nurses, social workers, community health workers and health coaches, supported by real-time data of healthcare utilization, perform home visits, accompany patients to doctor visits, and help patients enroll in social-service programs. This approach aims to improve the self-sufficiency of patients in navigating the healthcare and social-service systems and has the potential to reduce healthcare costs and improve patient health.


Description:

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Study Design


Related Conditions & MeSH terms


Intervention

Other:
Link2Care


Locations

Country Name City State
United States Cooper University Hospital Camden New Jersey
United States Our Lady of Lourdes Medical Center Camden New Jersey

Sponsors (5)

Lead Sponsor Collaborator
Abdul Latif Jameel Poverty Action Lab Harvard University, Massachusetts Institute of Technology, National Bureau of Economic Research, Inc., The Cooper Health System

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Number of Readmissions 30-day from indexed hospital discharge
Other Number of Readmissions 90-day from indexed hospital discharge
Other Number of Readmissions Outcome is the number of hospital readmissions within 365-days from index hospital discharge and is reported for the subset of participants for which sufficient time has passed that 365-day outcomes can be observed in hospital claims data. 365-day from indexed hospital discharge
Other Any Hospital Use (Inpatient or ED) 365-day from indexed hospital discharge
Other Time to Readmission (Days) Outcome is the number of days until readmission for the subset of participants for which sufficient time has passed that 365-day outcomes can be observed in hospital claims data and who had a readmission within 365 days. Up to 365 days from indexed hospital discharge
Other Number of Readmissions (for Patients With 3+ Readmissions in the Prior Year) 180-day from indexed hospital discharge
Other Number of Readmissions (for Patients With 2 Readmissions in the Prior Year) 180-day from indexed hospital discharge
Other Number of Readmissions (for English Speaking Patients) 180-day from indexed hospital discharge
Other Number of Readmissions (for Non-English Speaking Patients) 180-day from indexed hospital discharge
Primary Any Hospital Readmission 180-day from indexed hospital discharge
Secondary Any Emergency Department Use 180-day from indexed hospital discharge
Secondary Any Hospital Use (Inpatient or ED) 180-day from indexed hospital discharge
Secondary Inpatient Readmission From the ED 180-day from indexed hospital discharge
Secondary Inpatient Readmission Not From the ED 180-day from indexed hospital discharge
Secondary Number of Readmissions 180-day from indexed hospital discharge
Secondary Had 2+ Readmissions 180-day from indexed hospital discharge
Secondary Number of Days in the Hospital 180-day from indexed hospital discharge
Secondary Hospital Charges 180-day from indexed hospital discharge
Secondary Hospital Receipts 180-day from indexed hospital discharge
See also
  Status Clinical Trial Phase
Completed NCT03097640 - Understanding Perspectives of Frequently-Admitted Hospital Patients N/A