Ignite Creation Date:
2024-05-05 @ 10:59 PM
Last Modification Date:
2024-10-26 @ 10:26 AM
Study NCT ID:
NCT01221532
Status:
COMPLETED
Last Update Posted:
2013-07-09
First Post:
2010-07-13
Brief Title:
Support From Hospital to Home for Elders A Randomized Controlled Study
Sponsor:
University of California San Francisco
Organization:
University of California San Francisco
Study Overview
Official Title:
Support From Hospital to Home for Elders A Randomized Controlled Study
Status:
COMPLETED
Status Verified Date:
2013-07
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:
SHHE
Brief Summary:
The investigators will randomize 700 non-psychiatric non-obstetric non-surgical patients aged 55 years and older at San Francisco General Hospital SFGH to usual care ten days of prescription medication discharge summary sent to primary care provider PCP and outpatient appt made for patient and patients nurse reviews discharge plan or usual care plus a peridischarge intervention a visit with specialized in-hospital discharge nurse development of personalized discharge plan two phone calls from a nurse practitionerNPphysician assistant PA after discharge and availability of additional calls back from NPPA upon patient request to help answer questions and assist patients transition to outpatient care and communication with primary caresubspecialty providers The usual care and usual care plus intervention groups will be assessed for differences in mortality and rates of rehospitalization and emergency department use 30 90 and 180 days following discharge from the hospital
The discharge process from the hospital to home is frequently marked by poor quality and high risk of adverse events and readmissions It has been hypothesized that better coordinated care personalized patient education and follow-up calls to identify potential sources of adverse events such as medical complications and medication errors can reduce rehospitalization and emergency room visits following discharge from the hospital Although these interventions have been shown to reduce combined hospital readmissions and emergency department visits in English-speaking patients none has focused on elderly patients in a diverse urban public hospital setting that includes non-English-speakers who might benefit more than other populations from enhanced services during and after discharge from the hospital Further these labor-intensive interventions are costly to implement and it is unknown whether opportunity cost of providing additional services in a limited-resource environment such as San Francisco General Hospital SFGH outweighs the unknown clinical benefits
The discharge process from the hospital to home is frequently marked by poor quality and high risk of adverse events and readmissions It has been hypothesized that better coordinated care personalized patient education and follow-up calls to identify potential sources of adverse events such as medical complications and medication errors can reduce rehospitalization and emergency room visits following discharge from the hospital Although these interventions have been shown to reduce combined hospital readmissions and emergency department visits in English-speaking patients none has focused on elderly patients in a diverse urban public hospital setting that includes non-English-speakers who might benefit more than other populations from enhanced services during and after discharge from the hospital Further these labor-intensive interventions are costly to implement and it is unknown whether opportunity cost of providing additional services in a limited-resource environment such as San Francisco General Hospital SFGH outweighs the unknown clinical benefits
Detailed Description:
None
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