Effect of a Quality Improvement Initiative to Address Social Determinants of Health on Rehospitalization Rates in Patients With Heart Failure

Sponsor
Saint Luke's Health System (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05388097
Collaborator
Truman Medical Center (Other), University of Missouri, Kansas City (Other), Mid America Regional Council (Other)
320
2
18

Study Details

Study Description

Brief Summary

The objective of this program is to improve post-acute care coordination for necessary social services for patients leaving the hospital after recovering from an episode of decompensated heart failure.

Condition or Disease Intervention/Treatment Phase
  • Other: Managed Services
N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
320 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Supportive Care
Official Title:
A Novel Strategy for Addressing Social Barriers to a Successful, Sustained Discharge From the Hospital for Acute Heart Failure
Anticipated Study Start Date :
Jun 1, 2022
Anticipated Primary Completion Date :
Jun 1, 2023
Anticipated Study Completion Date :
Dec 1, 2023

Arms and Interventions

Arm Intervention/Treatment
No Intervention: Standard Of Care - No Managed Services

Subjects receive standard medical care and follow-up after hospital discharge

Experimental: Managed Services After Discharge

Subjects receive in-home assessment and care coordination/connection with community resources after hospital discharge

Other: Managed Services
coordination of care and assistance with community resources (food, transportation)

Outcome Measures

Primary Outcome Measures

  1. Reduction in all-cause re-hospitalization [2 years]

    reduction in all-cause re-hospitalization via improved post-acute care coordination

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 99 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Aged 18-99 years

  • Resident of Missouri or Kansas

  • Current inpatient admission for acute heart failure

Exclusion Criteria:
  • Under 18 years or over 99 years of age

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Saint Luke's Health System
  • Truman Medical Center
  • University of Missouri, Kansas City
  • Mid America Regional Council

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Saint Luke's Health System
ClinicalTrials.gov Identifier:
NCT05388097
Other Study ID Numbers:
  • Managed Services Network
First Posted:
May 24, 2022
Last Update Posted:
May 24, 2022
Last Verified:
May 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Saint Luke's Health System
Additional relevant MeSH terms:

Study Results

No Results Posted as of May 24, 2022