Status:
COMPLETED
MORE-PC: A 30-day Automated SMS Program to Support Post-discharge Transitions of Care
Lead Sponsor:
University of Pennsylvania
Collaborating Sponsors:
UnitedHealth Group
Conditions:
Care Transitions
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
This study will evaluate a 30-day post-discharge intervention using an automated SMS platform to monitor patients and facilitate communication with their primary care practice. The population will be ...
Detailed Description
Background: Current models of post-discharge care management are time and labor intensive, limited in scope, and inconvenient from the patient perspective, particularly when they have a need arise. A...
Eligibility Criteria
Inclusion
- The study subjects will be medium to high risk (UPHS risk score 4 and above; an internally developed and validated score assessing a patient's risk for readmission) adult (age ≥ 18) patients of the Penn Primary Care Practices who are discharged home from acute inpatient care in the broad Philadelphia region as identified in HealthShare Exchange (HSX) reports
Exclusion
- This study will exclude discharges who do not meet criteria for transitional care management. These criteria include discharges after 1) planned chemotherapy admissions; 2) certain scheduled surgeries, including spinal surgery, joint replacements, gastric bypass, transurethral resection of the prostate, gynecologic surgeries, and transplants; 3) obstetrics admissions.
- We will exclude patients from re-enrollment during the study period (once they have been enrolled once, they will not be enrolled again). We will also exclude patients being discharged to home hospice.
Key Trial Info
Start Date :
March 29 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 3 2023
Estimated Enrollment :
5000 Patients enrolled
Trial Details
Trial ID
NCT05245773
Start Date
March 29 2022
End Date
February 3 2023
Last Update
February 27 2023
Active Locations (1)
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1
University of Pennsylvania School of Medicine
Philadelphia, Pennsylvania, United States, 19104