Ignite Creation Date:
2024-05-05 @ 4:51 PM
Last Modification Date:
2024-10-26 @ 9:25 AM
Study NCT ID:
NCT00328848
Status:
COMPLETED
Last Update Posted:
2014-07-17
First Post:
2006-05-18
Brief Title:
After Discharge Management of Low Income Frail Elderly
Sponsor:
Summa Health System
Organization:
Summa Health System
Study Overview
Official Title:
After Discharge Management of Low Income Frail Elderly AD-LIFE
Status:
COMPLETED
Status Verified Date:
2014-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to determine whether comprehensive post-hospitalization interdisciplinary care management can be an effective care delivery model to improve outcomes in low-income frail elderly
Detailed Description:
This randomized trial will test the effectiveness of improved clinical practice through comprehensive care management in elderly patients with chronic illness and functional impairment discharged from an acute care hospital For the intervention group patient care will be coordinated by a nurse care manager who will perform a comprehensive in home assessment and provide patient education and self management support The care manager will work with an interdisciplinary team IT to develop and implement a plan of care Evidence based care plans will be implemented in collaboration with the patient the primary care physician PCP the local Area Agency on Aging AAoA and other community social agencies The care manager will provide frequent patient follow up across all providers to ensure integration of medical and social issues Control patients will be referred to the local AAoA with no IT follow up Although control patients will receive through the AAoA referrals for care and psychosocial support the absence of a care manager and IT will we expect result in functional decline lower quality of life and higher health care costs
The intervention n265 and control n265 groups will be compared at 1 year on a profile of health and well being using a multiple endpoint global hypothesis testing strategy The global measure will be comprised of the following 5 domains function institutionalization quality of life quality of medical management and quality of self management Priority populations identified by AHRQ who are targeted in this study include the elderly patients with chronic illnesses low income dual eligible and patients with disabilities This study also includes minorities women and patients who live in the inner city Future economic analyses of benefits for which alternative funding is currently being sought will inform policy makers about funding care management in AHRQ priority populations
The intervention n265 and control n265 groups will be compared at 1 year on a profile of health and well being using a multiple endpoint global hypothesis testing strategy The global measure will be comprised of the following 5 domains function institutionalization quality of life quality of medical management and quality of self management Priority populations identified by AHRQ who are targeted in this study include the elderly patients with chronic illnesses low income dual eligible and patients with disabilities This study also includes minorities women and patients who live in the inner city Future economic analyses of benefits for which alternative funding is currently being sought will inform policy makers about funding care management in AHRQ priority populations
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 1R01HS014539-01A1 | AHRQ | None | httpsreporternihgovquickSearch1R01HS014539-01A1 |