Status:
COMPLETED
Care Transitions Innovation (C-TraIn)
Lead Sponsor:
Oregon Health and Science University
Conditions:
Hospitalization
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The purpose of this protocol is to evaluate the Care Transitons Innovation, a quality improvement project being implemented at OHSU to improve the transition from hospital to home for uninsured and Me...
Eligibility Criteria
Inclusion
- hospitalized on one of seven inpatient treatment teams
- uninsured or low-income publicly insured (Medicaid; Medicare/Medicaid; or Medicare without supplemental insurance and ≤200% poverty level)
- reside in one of three metro-area counties (Multnomah, Washington, Clackamas)
Exclusion
- not community dwelling (ie not from a long-term care facility or with plans to discharge to skilled nursing facility)
- no access to a working telephone (participants could list a friend or shelter phone)
- non-English speakding
- HIV positive (HIV+ patients were eligible for overlapping transitional care resources)
- disabling mental illness (as characterized by active psychosis or active suicidal ideation) or severe cognitive deficits
- plans to enter hospice.
Key Trial Info
Start Date :
November 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
Estimated Enrollment :
382 Patients enrolled
Trial Details
Trial ID
NCT01906645
Start Date
November 1 2010
Last Update
July 24 2013
Active Locations (1)
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1
Oregon Health & Science University
Portland, Oregon, United States, 97239