Testing the Re-Engineered Hospital Discharge
1 other identifier
interventional
749
1 country
1
Brief Summary
The purpose of this study is to determine if the "Re-Engineered Discharge" will decrease rehospitalization rates and adverse events of patients leaving Boston Medical Center.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2005
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 10, 2005
CompletedFirst Posted
Study publicly available on registry
November 11, 2005
CompletedStudy Start
First participant enrolled
December 1, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2007
CompletedResults Posted
Study results publicly available
April 13, 2009
CompletedMarch 28, 2017
February 1, 2017
1.8 years
November 10, 2005
February 10, 2009
February 27, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Total Number of Rehospitalizations (Emergency Department Visits Plus Hospital Admissions) in the 30 Days After Discharge.
The total number of rehospitalizations (emergency department visits plus hospital admissions) in the 30 days after discharge, compared across study arms. Participants could have more than one rehospitalization in this period; all rehospitalizations for each were counted, making the unit of measure the rehospitalizations and not the participants.
30 days after discharge
Study Arms (2)
Re-engineered hospital discharge
EXPERIMENTALParticipants received the "Re-Engineered Hospital Discharge", a set of 11 discrete, mutually reinforcing components provided by a Discharge Advocate and re-enforced by a telephone call 2-4 days after discharge by a clinical pharmacist.
Standard hospital discharge
NO INTERVENTIONParticipants received the routine, standard hospital discharge.
Interventions
The "Re-engineered Hospital Discharge" (Project RED) intervention provides a set of 11 discrete, mutually reinforcing components provided by a Discharge Advocate and re-enforced by a telephone call after discharge by a clinical pharmacist.
Eligibility Criteria
You may not qualify if:
- are over 18 years old;
- are to be discharged to a community, non-institutionalized setting;
- report that they desire to be hospitalized in the future if there is a clinical need; and
- are admitted to Firm B of the BMC Inpatient Service.
- admitted to non-general Medical services at BMC (e.g., orthopedic surgery, obstetrics and gynecology, otolaryngology, general surgery, or psychiatry);
- requiring hospice, nursing home or other institutional settings upon discharge,
- who die during the admission,
- subjects who speak languages other than English;
- those who indicate that they have no access to a telephone or unable to give a contact telephone number; and
- those not competent to sign informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Boston Medical center
Boston, Massachusetts, 02118, United States
Related Publications (3)
Woz S, Mitchell S, Hesko C, Paasche-Orlow M, Greenwald J, Chetty VK, O'Donnell J, Jack B. Gender as risk factor for 30 days post-discharge hospital utilisation: a secondary data analysis. BMJ Open. 2012 Apr 18;2(2):e000428. doi: 10.1136/bmjopen-2011-000428. Print 2012.
PMID: 22514241DERIVEDMitchell SE, Paasche-Orlow MK, Forsythe SR, Chetty VK, O'Donnell JK, Greenwald JL, Culpepper L, Jack BW. Post-discharge hospital utilization among adult medical inpatients with depressive symptoms. J Hosp Med. 2010 Sep;5(7):378-84. doi: 10.1002/jhm.673.
PMID: 20577971DERIVEDJack BW, Chetty VK, Anthony D, Greenwald JL, Sanchez GM, Johnson AE, Forsythe SR, O'Donnell JK, Paasche-Orlow MK, Manasseh C, Martin S, Culpepper L. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009 Feb 3;150(3):178-87. doi: 10.7326/0003-4819-150-3-200902030-00007.
PMID: 19189907DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Brian Jack PI
- Organization
- Boston Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
Brian Jack, MD
Boston Medical Center - Family Medicine
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PI
Study Record Dates
First Submitted
November 10, 2005
First Posted
November 11, 2005
Study Start
December 1, 2005
Primary Completion
October 1, 2007
Study Completion
October 1, 2007
Last Updated
March 28, 2017
Results First Posted
April 13, 2009
Record last verified: 2017-02
Data Sharing
- IPD Sharing
- Will not share