Status:
RECRUITING
Improving TRansitions ANd OutcomeS for Heart FailurE Patients in Home Health CaRe (I-TRANSFER-HF)
Lead Sponsor:
Weill Medical College of Cornell University
Collaborating Sponsors:
National Heart, Lung, and Blood Institute (NHLBI)
Johns Hopkins University
Conditions:
Heart Failure
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
This study is trying to improve the hospital-to-home transition for people with heart failure who receive home care services. The study will test an intervention called I-TRANSFER-HF, which differs fr...
Detailed Description
The investigators' will test two hypotheses: Hypothesis 1 (H1): Compared to usual care, adults with heart failure who receive the I-TRANSFER-HF intervention will have fewer 30-day readmissions, ED vi...
Eligibility Criteria
Inclusion
- Aim 1,
- Adults hospitalized for HF who transition from participating hospitals to their partner HHC agency during the study period.
- Aim 1,
Exclusion
- Patients hospitalized for HF and discharged: home without HHC, or to an inpatient rehabilitation facility, skilled nursing facility, or hospice; patients with end stage renal disease on dialysis and those with left ventricular devices.
- Aim 2, Inclusion Criteria:
- \- Healthcare professional involved in the transition of heart failure patients from the acute care setting (hospital) to HHC (home health care) agencies, and the implementation of the I-TRANSFER-HF at one of the four participating hospital-HHC dyads.
- Aim 2,
Key Trial Info
Start Date :
July 1 2026
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
July 1 2028
Estimated Enrollment :
1094 Patients enrolled
Trial Details
Trial ID
NCT06118983
Start Date
July 1 2026
End Date
July 1 2028
Last Update
August 6 2025
Active Locations (2)
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1
VNS Health Partners in Care
New York, New York, United States, 10017
2
Weill Cornell Medicine
New York, New York, United States, 10021