Multimorbidity Clinical Trial
Official title:
Evaluating the Impact of an Integrated Risk Assessment System (Philips Lifeline Personal Emergency Response Service) on Healthcare Utilization
Verified date | August 2020 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study is being done to evaluate the impact of a system called CareSage. The CareSage system is a technology that uses clinical data to monitor, identify and target care to patients at risk of being transported to the hospital. The investigators want to see whether the CareSage system is effective in helping to identify hospital admissions which can be prevented.
Status | Completed |
Enrollment | 370 |
Est. completion date | November 30, 2019 |
Est. primary completion date | April 16, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Aged 18 years or older - Receiving care from Partners Healthcare at Home (PHH) - Total healthcare costs fall within the middle 51st-95th percentile of patients seen at Partners Healthcare from fiscal year 2016 Exclusion Criteria: - Currently on admission in a hospital facility with planned discharge to a long-term-care facility or Skilled Nursing Facilities (SNFs). - Severe dementia, Alzheimer's or other serious psychiatric illness (severe anxiety disorder or psychosis). - Enrolled in the Integrated Care Management Program (iCMP) program. - Continued telemonitoring (TM) support extending into the 6 months of study period post the observation period of 3 months. - PHH patients with pacemakers and other implanted devices |
Country | Name | City | State |
---|---|---|---|
United States | Partners Healthcare at Home | Waltham | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital | Philips Healthcare |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of participants who visit the emergency department 90 and 180 days after the three month observational period and assessed by reviewing the medical records | To assess the impact of the CareSage risk assessment platform and tailored PHH intervention on the 90- and 180- day ED visits. | 9 months after study enrollment | |
Secondary | Emergency Transport use | Patient usage of emergency transport | 9 months after study enrollment | |
Secondary | 30-, 90- and 180- day readmissions | Data pertaining to the 30-day readmissions will be collected in the intervention period (6 months). | 9 months after study enrollment | |
Secondary | Total number of avoidable hospital admissions using Center for Medicare and Medicaid Services (CMS) criteria | Total number of avoidable hospital admissions | 9 months after study enrollment | |
Secondary | Total medical expenses attributable to the avoidable admissions | Total medical expenses attributable to the avoidable admissions | 9 months after study enrollment | |
Secondary | Mortality rates | Patient deaths | 9 months after study enrollment | |
Secondary | Time to readmission | Length of time before patient was readmitted. | 9 months after study enrollment | |
Secondary | Patient quality of life | This outcome will be assessed using a validated questionnaire- Short-form 12 version 2 (SF-12v2) | 9 months after study enrollment | |
Secondary | Patient satisfaction with the service | Patient and provider satisfaction with the service will be evaluated using a Satisfaction survey designed specifically for this study | 9 months after study enrollment | |
Secondary | Patient leakage | Number of patients who have been admitted to hospitals outside of the Partners network will be assessed by patient self-disclosure at close-out | 9 months after study enrollment | |
Secondary | PLL switch rate from No to Yes-Payment at the end of the study. | The PLL switch rate from No to Yes-Payment will be evaluated at the end of the study by using the billing accounts from Phillips | 9 months after study enrollment | |
Secondary | Total number of hospital admissions assessed by reviewing the medical record | Total number of hospital admissions for participants | 9 months after study enrollment |
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