Status:
COMPLETED
Study of the Impact of a Hospital Discharge Care Coordination Program in an Elderly Population
Lead Sponsor:
Weill Medical College of Cornell University
Collaborating Sponsors:
New York State Department of Health
Maimonides Medical Center
Conditions:
Hospital Readmission
Eligibility:
All Genders
65+ years
Phase:
NA
Brief Summary
The purpose of this research study is to evaluate the effect of a health information exchange (HIE)-supported care coordination package on 30-day readmission rates in a frail elderly population.
Detailed Description
BACKGROUND Reducing hospital readmission rates is a top national priority. Unplanned hospital readmission is estimated to have accounted for more than $17 billion of the roughly $103 billion hospital...
Eligibility Criteria
Inclusion
- Weill Cornell Investigators will be receiving a HIPAA-compliant de-identified dataset from the Brooklyn Health Information Exchange (BHIX) that includes:
- Demographic data information
- Diagnoses (admission, discharge, readmission)
- Whether the patient was readmitted readmission, # of inpatients days if the patients was readmitted
- Care coordination program statistics (e.g. usage of the personal health record, and frequency of contact with nursing support staff).
- The data set will include data of the following individuals:
- Intervention Dataset (Group 1): Those age 65 or older who are discharged from Maimonides to home during the study period and enrolled in the Care Coordination Program.
- Control Dataset (Group 2): Those age 65 or older who are discharged from Maimonides to home during the study period.
Exclusion
- The exclusion criteria for this study for both the intervention \& control dataset is anybody who does not fall into the above inclusion category and anybody who was:
- Transferred on the day of discharge to another acute care hospital, admitted to a hospital specialty unit, admitted to an inpatient rehabilitation facility, or admitted to a long-term care hospital;
- Approached and declined to participate in the Care Coordination Program.
Key Trial Info
Start Date :
May 1 2011
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2013
Estimated Enrollment :
201 Patients enrolled
Trial Details
Trial ID
NCT01440907
Start Date
May 1 2011
End Date
July 1 2013
Last Update
January 24 2017
Active Locations (2)
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1
Maimonides Medical Center
Brooklyn, New York, United States, 11219
2
Brooklyn Health Information Exchange (BHIX)
Brooklyn, New York, United States, 11220