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

NCT01091688 | Completed

• 1 other identifier: H-25701
• Study Type: interventional
• Target: 229
• Locations: 1 country
• Sites: 1

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.

Conditions

Patient Discharge

Keywords

neonatal; discharge planning; health transition; educational needs assessment; Intensive care, neonatal

Outcome Measures

Primary Outcomes (1)

• Adverse events

  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.

  6 months from hospital discharge

Secondary Outcomes (1)

• Physician comfort levels

  1 year

Study Arms (2)

Just-in-Time intervention

EXPERIMENTAL

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

Routine discharge care

NO INTERVENTION

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.

Interventions

Just-in-Time information BEHAVIORAL

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.

Just-in-Time intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

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

Sponsors & Collaborators

• Virginia Moyer: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Study Sites (1)

Newborn Center, Texas Children's Hospital

Houston, Texas, 77030, United States

Location

Study Officials

• Virginia A Moyer, MD, MPH

  Baylor College of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor of Pediatrics (Adjunct)

Study Record Dates

• First Submitted: March 18, 2010
• First Posted: March 24, 2010
• Study Start: March 1, 2010
• Primary Completion: June 1, 2011
• Study Completion: June 1, 2011
• Last Updated: July 27, 2015

Record last verified: 2015-07

Locations

US (1)