Patient Discharge Clinical Trial
— EDPPOfficial title:
The Impact of a Social Work Driven Transitional Care Model on Health Outcomes for At-Risk Older Adults
NCT number | NCT01378234 |
Other study ID # | 08121903-IRB02 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | June 2009 |
Est. completion date | July 2010 |
Verified date | September 2023 |
Source | Rush University Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The Enhanced Discharge Planning Program (EDPP) is an intervention designed to help older adults safely transition to the community after discharge. This is achieved through telephonic care coordination facilitated by social workers. EDPP social workers ensure full implementation of the discharge plan, assist with coordinating community resources and follow-up appointments, and intervene around other issues that may arise as a result of a complex transition. The EDPP intervention is currently being offered to some older adult patients discharged from Rush University Medical Center. Case managers refer older adult patients on selected units who they believe may be at risk for adverse events post-discharge. While this service is being provided to patients, it has not yet been formally evaluated. This randomized controlled trial will provide data necessary for a more rigorous evaluation of the efficacy of this intervention.
Status | Completed |
Enrollment | 740 |
Est. completion date | July 2010 |
Est. primary completion date | July 2010 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility | Inclusion Criteria: - Must meet all the following criteria: - Aged 65+ - English speaking - Returning home after discharge - 7+ medication prescribed - Must also meet one additional criterion: - Lives alone - Without a source of emotional support - Without a support system for care in place - Discharged with a service referral - High risk for falls - Inpatient hospitalization within 12 months - Identified in depth psychosocial need - High risk medication prescribed Exclusion Criteria: - Primary diagnosis of transplant - Non-English speaking - Discharged to a facility |
Country | Name | City | State |
---|---|---|---|
United States | Rush University Medical Center | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
Rush University Medical Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Readmissions | Readmission to hospital within 30 days after index discharge date | 30 days | |
Primary | Readmissions | Readmission to hospital within 60 days of index discharge date | 60 days | |
Primary | Readmissions | Readmission to hospital within 90 days of index discharge date | 90 days | |
Primary | Readmissions | Readmission to hospital within 180 days of index discharge date | 180 days | |
Secondary | Stress | Patient and caregiver stress, self-reported | 30 days | |
Secondary | Physician follow-up | Appointment made, kept with doctor | 30 days | |
Secondary | Mortality | patient's Mortality will be monitored and documented. | 30 days | |
Secondary | Patient needs | Audit of problems detected post-discharge | 30 days |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT01207180 -
Discharge Planning for Elderly Patients in the Emergency Department: Use of a Brief Phone Call After Discharge to Improve Medication Utilization and Physician Follow-up
|
N/A | |
Not yet recruiting |
NCT05501314 -
Remote Home Monitoring Acute Pancreatitis
|
N/A | |
Completed |
NCT03223584 -
Exploratory Study to Inventory Opportunities to Optimize Continuity of Pharmacotherapy at Hospital Discharge
|
N/A | |
Completed |
NCT02581800 -
Effect and Experience of PreHomeCare of Preterm Infants Using Telecommunication and Smartphone Application
|
N/A | |
Completed |
NCT02295319 -
The Impact of Individual-based Discharges From Acute Admission Units to Home
|
N/A | |
Completed |
NCT00670865 -
Automated Versus Conventional Hospital Discharge Summaries and Prescriptions
|
N/A | |
Completed |
NCT05556707 -
Symptom Clusters and Risk Factors of COVID-19 Patients
|
||
Terminated |
NCT03455985 -
Effectiveness of a Diabetes Focused Discharge Order Set Among Poorly Controlled Hospitalized Patients Transitioning to Glargine U300 Insulin
|
N/A | |
Completed |
NCT01091688 -
The Impact of Just-in-time Information on Neonatal Intensive Care Unit (NICU) Discharges
|
N/A | |
Completed |
NCT03810534 -
Connect-Home Clinical Trial
|
N/A | |
Completed |
NCT02532296 -
Improving Hospital-to-Home Care Transitions for High-risk Younger Adult Patients
|
N/A | |
Recruiting |
NCT04077281 -
Improving Medication Prescribing-Related Outcomes for Vulnerable Elderly In Transitions
|
N/A | |
Completed |
NCT03436940 -
Comparison Between Two Strategies of Discharge Planning for the Reduction of Short Term Hospital Readmissions
|
N/A | |
Completed |
NCT01565785 -
Evaluating a New Way to Prepare Parents of Hospitalized Children for Discharge and Management of Child at Home
|
N/A | |
Recruiting |
NCT03786250 -
Comprehensive Geriatric Assessment in an Emergency Department
|
||
Completed |
NCT02533856 -
Trial of Emergency Department Discharge With Enhanced Transitions of Care Compared to Usual Care
|
N/A | |
Withdrawn |
NCT00364117 -
Remote Presence Timely Discharge Management
|
Phase 2/Phase 3 | |
Completed |
NCT01503554 -
Combined Social Worker and Pharmacist Transitional Care Program
|
N/A | |
Not yet recruiting |
NCT04351425 -
Early Weaning of Preterm Newborn From Incubator to Cot at 1400 Grams
|
N/A |