Evaluating the Impact of a Supportive Care Program

Sponsor

NYU Langone Health (Other)

Overall Status

Enrolling by invitation

CT.gov ID

NCT04971278

Collaborator

(none)

2,500

Enrollment

Location

Anticipated Duration (Months)

69.4

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

NYU's High Risk Program targets patients who may be more likely to have increased hospitalization due to health conditions that may cause death in the near future. Community Health Workers, a home visiting doctor service, a supportive care nurse, and behavioral health specialist engage the population to address a range of biopsychosocial needs with end goal in increasing support in the community and engaging palliative and hospice care when appropriate to prevent hospital readmissions, shorten length of stay, reduce hospital utilization, and decrease overall patient cost with a focus on hospital spend.

Condition or Disease	Intervention/Treatment	Phase
Patient Engagement Morality	Behavioral: Supportive care program

Study Design

Study Type:

Observational

Anticipated Enrollment :

2500 participants

Observational Model:

Cohort

Time Perspective:

Prospective

Official Title:

Evaluating the Impact of a Supportive Care Program

Actual Study Start Date :

Nov 7, 2019

Anticipated Primary Completion Date :

Nov 7, 2022

Anticipated Study Completion Date :

Nov 7, 2022

Arms and Interventions

Arm	Intervention/Treatment
HealthFirst Intervention Patients attributed to HealthFirst who will receive the intervention	Behavioral: Supportive care program Community Health Workers, a home visiting doctor service, a supportive care nurse, and behavioral health specialist engage the population to address a range of biopsychosocial needs with end goal in increasing support in the community and engaging palliative and hospice care when appropriate to prevent hospital readmissions, shorten length of stay, reduce hospital utilization, and decrease overall patient cost with a focus on hospital spend.
HealthFirst Control Patients attributed to HealthFirst who will not receive the intervention
Mortality Model Intervention Patients who are identified as High Risk by the mortality predictive model and who receive the intervention.	Behavioral: Supportive care program Community Health Workers, a home visiting doctor service, a supportive care nurse, and behavioral health specialist engage the population to address a range of biopsychosocial needs with end goal in increasing support in the community and engaging palliative and hospice care when appropriate to prevent hospital readmissions, shorten length of stay, reduce hospital utilization, and decrease overall patient cost with a focus on hospital spend.
Mortality Model Control Patients who are identified as High Risk by the mortality predictive model and who do not receive the intervention.

Outcome Measures

Primary Outcome Measures

Rate of Advance Care Planning note creation [2 years]
How many and how often are ACP notes written for patients

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Inclusion Criteria:

18 years or older
at or above the 75th percentile on the Mortality Model
Attributed to a value based contract

Exclusion Criteria:

Less than 18 years of age
Below the 75th percentile on the Mortality Model
Not attributed to a value based contract

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	NYU Langone Health	New York	New York	United States	10016

Sponsors and Collaborators

NYU Langone Health

Investigators

Principal Investigator: Leora Horwitz, MD, NYU Grossman School of Medicine

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

NYU Langone Health

ClinicalTrials.gov Identifier:

NCT04971278

Other Study ID Numbers:

QI-High Risk

First Posted:

Jul 21, 2021

Last Update Posted:

Jul 14, 2022

Last Verified:

Jul 1, 2022

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Study Results

No Results Posted as of Jul 14, 2022