The Impact of Just-in-time Information on Neonatal Intensive Care Unit (NICU) Discharges

Sponsor

Virginia Moyer (Other)

Overall Status

Completed

CT.gov ID

NCT01091688

Collaborator

Agency for Healthcare Research and Quality (AHRQ) (U.S. Fed)

229

Enrollment

Location

Arms

Duration (Months)

15.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

We, the investigators, will provide "Just-in-Time" information, physician educational material, to primary care pediatricians of Neonatal Intensive Care Unit (NICU) graduates at the time of NICU discharge. We will follow the rate of adverse events (deaths, re-hospitalizations, emergency room visits, and missed appointments) for 6 months after NICU discharge. We will assess levels of physician comfort in caring for NICU specific diseases, as well as physician satisfaction with the discharge process. We hypothesize that the provision of "Just-in-Time" information will decrease the rate of adverse events, and make physicians more comfortable in caring for complicated NICU graduates, and more satisfied with the discharge process.

Condition or Disease	Intervention/Treatment	Phase
Patient Discharge	Behavioral: Just-in-Time information	N/A

Detailed Description

The purpose of this protocol is to evaluate the impact of providing "Just-in-Time" information, or physician educational material at the time of discharge, to primary care pediatricians caring for Neonatal Intensive Care Unit (NICU) graduates. The material provided will be tailored to the needs of each infant. The educational material will be sent to the physicians via email and facsimile on the day of discharge, and a hard copy will be sent with the parents to bring to their first clinic appointment. Outcomes, including emergency room visits, hospital readmissions, deaths, missed appointments, and improvements in care in the areas of intervention will be assessed. Levels of physician comfort in caring for various disorders specific to NICU graduates will be assessed, and satisfaction with the discharge process will also be evaluated pre- and post- intervention.

Study Design

Study Type:

Interventional

Actual Enrollment :

229 participants

Allocation:

Non-Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

The Impact of "Just-in-time" Information on NICU Discharges

Study Start Date :

Mar 1, 2010

Actual Primary Completion Date :

Jun 1, 2011

Actual Study Completion Date :

Jun 1, 2011

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Just-in-Time intervention The infants and physicians in the experimental group will receive the "Just-in-Time" intervention sheets at the time of discharge.	Behavioral: Just-in-Time information Infants and physicians assigned to the intervention group will receive Just-in-Time information at the time of NICU discharge, by email and facsimile, and the parents will receive a copy to bring to their first clinic appointment.
No Intervention: Routine discharge care The infants and physicians in the routine discharge care arm will receive the same information and details as is per normal routine in the nursery.

Arm

Intervention/Treatment

Experimental: Just-in-Time intervention

The infants and physicians in the experimental group will receive the "Just-in-Time" intervention sheets at the time of discharge.

Behavioral: Just-in-Time information

Infants and physicians assigned to the intervention group will receive Just-in-Time information at the time of NICU discharge, by email and facsimile, and the parents will receive a copy to bring to their first clinic appointment.

No Intervention: Routine discharge care

The infants and physicians in the routine discharge care arm will receive the same information and details as is per normal routine in the nursery.

Outcome Measures

Primary Outcome Measures

Adverse events [6 months from hospital discharge]
The rates of death, rehospitalization, emergency room visits, and missed appointments will be calculated for infants in the first 6 months after discharge from the NICU.

Secondary Outcome Measures

Physician comfort levels [1 year]
Physicians will complete pre- and post- intervention surveys that consist of 5-point Likert scales that measure comfort levels with various disorders specific to former premature infants.

Eligibility Criteria

Criteria

Ages Eligible for Study:

N/A and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Pediatric care providers will be identified when they accept into their practices babies who are part of a related study of an enhanced discharge process in the Texas Children's Hospital (TCH) NICU (ClinicalTrials.gov Identifier: NCT01088945)
Participating providers must be part of Texas Children's Pediatrics Associates (TCPA), or accept Texas Children's Health Plan (TCHP) insurance.

Exclusion Criteria:

Providers who are not part of Texas Children's Pediatrics Associates (TCPA), or do not accept Texas Children's Health Plan (TCHP) insurance.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Newborn Center, Texas Children's Hospital	Houston	Texas	United States	77030

Sponsors and Collaborators

Virginia Moyer
Agency for Healthcare Research and Quality (AHRQ)

Investigators

Principal Investigator: Virginia A Moyer, MD, MPH, Baylor College of Medicine

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Virginia Moyer, Professor of Pediatrics (Adjunct), Baylor College of Medicine

ClinicalTrials.gov Identifier:

NCT01091688

Other Study ID Numbers:

H-25701

First Posted:

Mar 24, 2010

Last Update Posted:

Jul 27, 2015

Last Verified:

Jul 1, 2015

Keywords provided by Virginia Moyer, Professor of Pediatrics (Adjunct), Baylor College of Medicine

neonatal

discharge planning

health transition

educational needs assessment

Intensive care, neonatal

Study Results

No Results Posted as of Jul 27, 2015