Renal Disease Clinical Trial
— CTOfficial title:
Care Transitions in Renal Disease Patients
The goal of this pilot is to reduce the 30-day hospital readmission rate for dialysis patients. It is a quality improvement project that consistent of 4 "tracks." Tracks 1 & 2: Implement use of checklists of activities for staff to complete when patients are admitted to the hospital, and post-hospitalization with emphasis on fluid assessment, nutrition management, patient coaching, and communication between institutions. Track 3: Work with physicians to develop process to individualize post-hospitalization dialysis orders and improve medication reconciliation. Track 4: Use a renal Care Transitions Case Manager to follow patients in the hospital and 30 days post-hospitalization to facilitate care and patient coaching.
Status | Recruiting |
Enrollment | 3300 |
Est. completion date | December 2014 |
Est. primary completion date | June 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Chronic hemodialysis patients - All patients admitted to the hospital during the study period Exclusion Criteria: - Patients <18 years old |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
United States | Fresenius | Franklin | Tennessee |
Lead Sponsor | Collaborator |
---|---|
Fresenius Medical Care North America | Amgen |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | 30-day readmission rate | Number of hospitalizations that occur within 30 days after discharge from an initial index hospitalization (convert to percentage of 30-day readmissions). | Participants will be followed for the duration of each hospital stay and 30 days post-hospitalization, for an expected average of 37 days. | No |
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