Patient-Centered Care Clinical Trial
— CHAMPOfficial title:
Understanding Perspectives of Frequently-Admitted Hospital Patients
NCT number | NCT03097640 |
Other study ID # | STU00203847 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | November 2016 |
Est. completion date | October 2021 |
Verified date | October 2021 |
Source | Northwestern University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study evaluates the clinical outcomes of a novel program designed to target patients who are high-utilizers of hospital services. Patients who are frequently admitted to medical services - "high-utilizers" - present a unique set of challenges to providers and the health care system that require a different way of approaching chronic illness. The Complex High Admission Management Program (CHAMP) is an innovative model of care consisting of a small team of providers who establish continuity relationships with high-utilizer patients. CHAMP strives to provide effective, high value care via a longitudinal relationship-based care model through provider continuity, intensive case management, and personalized care plans. To better understand the potential outcomes of CHAMP, this study is a longitudinal, prospective, randomized, controlled trial of medical high-utilizers enrolled in CHAMP compared to a group of high-utilizer patients receiving usual care.
Status | Completed |
Enrollment | 151 |
Est. completion date | October 2021 |
Est. primary completion date | July 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion criteria: - Adults (18 yrs of age or older) who are admitted to Northwestern Memorial Hospital (NMH) and identified by EDW search as having two unplanned 30-day inpatient readmissions to NMH within the prior 12 months with one of two additional criteria:at least 1 readmission in the last 6 months, or a referral from one of that patient's medical providers. - Admission to NMH during the study period (October 1, 2016 to September 30, 2018) and meeting criteria described above for CHAMP - Ability to consent for this study (including ability to read materials printed in English, understanding and communicating in English, and able to understand the risks and benefits of participating in the study). Exclusion Criteria: - Patients who are admitted to the Intensive Care Unit, patients admitted to Oncology services (as we have found that this latter group has a multidisciplinary care team already in place), or patients actively followed by the Heart Failure Bridge and Transition (BAT) Team, a different quality improvement intervention designed to reduce readmissions among patients admitted for acute decompensated heart failure. - Participants will be excluded if they are disoriented to person, place, or time, or are unable to consent for any other reason. - Minors, pregnant women, and prisoners will also be excluded. |
Country | Name | City | State |
---|---|---|---|
United States | Northwestern Memorial Hospital | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
Northwestern University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Readmission Rate | 180-day Inpatient Readmission Rate (as defined by Medicare) to Northwestern Memorial Hospital | 180-days from indexed hospital discharge | |
Secondary | Readmission Rate | Inpatient Readmission Rate | 30 days from indexed hospital discharge | |
Secondary | Readmission Rate | Inpatient Readmission Rate | 90 days from indexed hospital discharge | |
Secondary | Inpatient Admissions | Inpatient Admission Rate to Northwestern Memorial Hospital | 30 days from indexed hospital discharge | |
Secondary | Inpatient Admissions | Inpatient Admission Rate to Northwestern Memorial Hospital | 90 days from indexed hospital discharge | |
Secondary | Inpatient Admissions | Inpatient Admission Rate to Northwestern Memorial Hospital | 180 days from indexed hospital discharge | |
Secondary | Inpatient Admissions-total | Inpatient Admissions to all hospitals, as reported by patient | 30 days from indexed hospital discharge | |
Secondary | Inpatient Admissions-total | Inpatient Admissions to all hospitals, as reported by patient | 90 days from indexed hospital discharge | |
Secondary | Inpatient Admissions-total | Inpatient Admissions to all hospitals, as reported by patient | 180 days from indexed hospital discharge | |
Secondary | ER Admissions | ER Visits to Northwestern Memoria | 180 days from indexed hospital discharge | |
Secondary | ER Admissions | ER Visits to Northwestern Memoria | 30 days from indexed hospital discharge | |
Secondary | ER Admissions | ER Visits to Northwestern Memoria | 90 days from indexed hospital discharge | |
Secondary | ER Admissions-total | ER Visits to all hospitals, as reported by patient | 30 days from indexed hospital discharge | |
Secondary | ER Admissions-total | ER Visits to all hospitals, as reported by patient | 90 days from indexed hospital discharge | |
Secondary | ER Admissions-total | ER Visits to all hospitals, as reported by patient | 180 days from indexed hospital discharge | |
Secondary | Hospital Length of Stay | Average Length of Stay at NMH during time period | 180 days from indexed hospital discharge | |
Secondary | Hospital Length of Stay | Average Length of Stay at NMH during time period | 30 days from indexed hospital discharge | |
Secondary | Hospital Length of Stay | Average Length of Stay at NMH during time period | 90 days from indexed hospital discharge | |
Secondary | Clinic Visits | Number of total clinic visits | 180 days from indexed hospital discharge | |
Secondary | Patient-Centered Outcomes | Responses to PROMIS Profile Scales, Trust in Physicians, Patient Activation, and Feelings of Discrimination | 30 days from indexed hospital discharge | |
Secondary | Patient-Centered Outcomes | Responses to PROMIS Profile Scales, Trust in Physicians, Patient Activation, and Feelings of Discrimination | 90 days from indexed hospital discharge | |
Secondary | Patient-Centered Outcomes | Responses to PROMIS Profile Scales, Trust in Physicians, Patient Activation, and Feelings of Discrimination | 180 days from indexed hospital discharge | |
Secondary | Average costs | Estimated cost from billing code data for hospitalizations during time period | 180 days from indexed hospital discharge |
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