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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT05807750
Other study ID # 2023-001 Sonik Readmit RCT
Secondary ID P30AG024968
Status Terminated
Phase N/A
First received
Last updated
Start date June 21, 2023
Est. completion date April 22, 2024

Study information

Verified date May 2024
Source AltaMed Health Services Corporation
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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.


Recruitment information / eligibility

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

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Post-discharge income supplement
$300 income supplement
Enhanced care planning
Enhanced care planning provided by a nurse care manager

Locations

Country Name City State
United States AltaMed Health Services Corporation Los Angeles California

Sponsors (3)

Lead Sponsor Collaborator
AltaMed Health Services Corporation National Institute on Aging (NIA), University of Southern California

Country where clinical trial is conducted

United States, 

References & Publications (1)

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

Outcome

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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