Patient Readmission Clinical Trial
Official title:
Effects Of Income Supplements On 30-Day Readmissions For Vulnerable Older Adults: A Randomized, Controlled, 300-Subject Clinical Trial
Verified date | May 2024 |
Source | AltaMed Health Services Corporation |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Unplanned 30-day hospital readmissions are an critical healthcare quality metric, with meaningful effects on patients and health systems operations. Interventions to reduce unplanned readmissions have primarily operated within a healthcare-centric frame, with enhancements to either pre- or post-discharge care planning, medication reconciliation, or visit frequency. Associations of 30-day readmission rates with poverty status and other social factors, however, suggest that attending to unmet social needs may yield added benefits to models focused on healthcare delivery. The purpose of the present trial is to provide evidence regarding the effects on 30-day readmissions of providing a one-time post-discharge income supplement to socially vulnerable older adults with medical complexity participating in an enhanced care coordination program.
Status | Terminated |
Enrollment | 8 |
Est. completion date | April 22, 2024 |
Est. primary completion date | April 22, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 55 Years and older |
Eligibility | Inclusion Criteria: - A participant in the underlying enhanced care planning program - aged 55 years or older - attending an outpatient clinic appointment as part of the underlying enhanced care planning program within 10 days of being discharged from an inpatient hospital stay - able to understand the study consent form (with interpretation services if needed) Exclusion Criteria: - The candidate is not discharged from the index admission to a community setting (e.g., they will be excluded if they are discharged to a skilled nursing facility) - The candidate has a legal guardian with control over financial decision-making - The candidate has been approached about the study during a previous encounter - The index hospitalization was a planned admission |
Country | Name | City | State |
---|---|---|---|
United States | AltaMed Health Services Corporation | Los Angeles | California |
Lead Sponsor | Collaborator |
---|---|
AltaMed Health Services Corporation | National Institute on Aging (NIA), University of Southern California |
United States,
Calvillo-King L, Arnold D, Eubank KJ, Lo M, Yunyongying P, Stieglitz H, Halm EA. Impact of social factors on risk of readmission or mortality in pneumonia and heart failure: systematic review. J Gen Intern Med. 2013 Feb;28(2):269-82. doi: 10.1007/s11606-012-2235-x. Epub 2012 Oct 6. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Post-discharge care plan adherence | Clinic visit attendance, medication fills/refills | Within 90 days of the index hospital discharge | |
Primary | Unplanned 30-day readmission | Whether a participant has an unplanned readmission within 30 days of the index hospital discharge | Within 30 days of the index hospital discharge | |
Secondary | 30-day post-discharge medical expenditures | Total medical expenditures in the 30 days after the index hospital discharge | Within 30 days of the index hospital discharge | |
Secondary | 90-day post-discharge medical expenditures | Total medical expenditures in the 90 days after the index hospital discharge | Within 90 days of the index hospital discharge | |
Secondary | 30-day post-discharge medical readmission OR emergency department visit | Whether a participant has an unplanned readmission OR emergency department visit within 30 days of the index hospital discharge | Within 30 days of the index hospital discharge | |
Secondary | 90-day post-discharge medical readmission OR emergency department visit | Whether a participant has an unplanned readmission OR emergency department visit within 90 days of the index hospital discharge | Within 90 days of the index hospital discharge | |
Secondary | Unplanned 90-day readmission | Whether a participant has an unplanned readmission within 90 days of the index hospital discharge | Within 90 days of the index hospital discharge |
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