Impact of Predictive Modeling on Time to Palliative Care in an Outpatient Primary Care Population

Palliative Care Clinical Trial

Official title:

Impact of Predictive Modeling on Time to Palliative Care in an Outpatient Primary Care Population

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04604457
• Other study ID #: 20-005977
• Status: Completed
• Phase: N/A
• Start date: August 31, 2020
• Est. completion date: May 31, 2021

Study information

• Verified date: June 2021
• Source: Mayo Clinic
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

A machine learning algorithm will be used to accurately identify patients in certain primary care units who may benefit from palliative care consults.

Description:

A machine learning algorithm will be used to accurately identify patients in certain primary care units who may benefit from palliative care consults. These patients will be presented weekly to a palliative care specialist in a custom user interface. The palliative care specialist will reach out to primary care teams if she determines that the patient would benefit from palliative care. If the primary care provider agrees, he/she would write a palliative care consult order for the patient. The goal is to reduce the time to palliative care for these patients, who may not have been identified as quickly without the algorithm.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 127070
• Est. completion date: May 31, 2021
• Est. primary completion date: May 31, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adult patient assigned to a primary care unit from July 2020 to June 2021.

• Weekly the palliative care specialists will select patients by looking at patients in sorted order starting with the highest score and proceeding down the list and evaluating each patient for exclusion criteria.

Exclusion Criteria:

• Patients that have been seen by Palliative care will be excluded for 75 days

• Patients under the age of 18 years.

• Patients currently enrolled with hospice

Related Conditions & MeSH terms

• Palliative Care

Intervention

Other:
• Palliative care contacts primary care
Palliative care specialist reaches out to primary care to recommend a palliative care consult. If the primary care provider agrees, he/she will write an order for a palliative care consult.

Locations

Country	Name	City	State
United States	Mayo Clinic in Rochester	Rochester	Minnesota

Sponsors (1)

Lead Sponsor	Collaborator
Mayo Clinic

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Timely identification for need of palliative care	Time to electronic record of consult by the palliative care team in the outpatient setting	Through study completion, an average of 1 year
Secondary	Number of palliative care consults	Number of palliative care consults that occurred on intervention and standard of care arms	Through study completion, an average of 1 year
Secondary	Number of advanced care planning notes documented in the EHR	Number of advanced care planning notes documented in the EHR on both arms	Through study completion, an average of 1 year
Secondary	Number of billing codes for palliative care	Number of ICD-10 billing codes for palliative care on both arms	Through study completion, an average of 1 year
Secondary	Positive predictive value of screened patients	Percentage of screened patients that received palliative care consults	Through study completion, an average of 1 year
Secondary	Percent of patients who are eligible for ECH based palliative care	Percent of patients who are eligible for employee/community health (ECH) based palliative care compared to the Palliative Care Clinic.	Through study completion, an average of 1 year
Secondary	Percent agreement between Palliative Care and Primary Care and average time between Primary Care Contact and Response	Agreement statistics (percent agreement and Kappa statistics) between Palliative Care and Primary Care and descriptive statistics (mean, etc.) on time between primary care contact and response.	Through study completion, an average of 1 year

External Links

•   Mayo Clinic Clinical Trials