Study Of Telemedicine Consultation at Home For Older Adults

NCT01324687 | Completed Results

• 2 other identifiers: 31563R01HS018047
• Study Type: observational
• Target: 1,537
• Locations: 1 country
• Sites: 1

Brief Summary

The system of medical care for older adults with acute illnesses often serves them poorly. Many factors limit these patients' access to safe, patient-centered, efficient, high-quality, acute care. These factors include a shortage of geriatricians and primary care physicians; limited availability of timely, acute-illness, patient appointments; emergency department (ED) crowding; interruptions to the continuity of care when patients use the ED; and poor transitions of care from the ambulatory setting to the ED. These conditions foster unnecessary ED use, adverse events in the ED for which older adults are particularly at-risk, and unnecessary medical costs. As the population ages, the magnitude of these problems will only increase. The overarching study goals are to develop and evaluate a telemedicine-enhanced care model that improves access to safe, high-quality, acute illness care for older adults; fosters appropriate use of health services; and reduces unnecessary expenditures. Specifically, this study aims to:

1. 1.Expand the existing pediatric HeA telemedicine network to older adults by providing senior living communities (SLC) with an alternative on-site care option for individuals with an acute illness episode.
2. 2.Evaluate the impact of the HeA telemedicine model on utilization, quality of care, and patient safety.
3. 3.Evaluate the economic benefit of the care delivered through the telemedicine network.
4. 4.Use qualitative methods to identify strategies and assets that promote and conditions that impede the implementation, acceptance, and success of the HeA telemedicine network in SLCs. This knowledge will inform efforts to develop a toolkit to be used to disseminate this technology broadly.

Conditions

Physical Disorders; Telemedicine

Keywords

Telemedicine; Geriatrics

Outcome Measures

Primary Outcomes (1)

• Emergency Department Use

  Use of emergency department by individuals with access to care via telemedicine as compared to those without such access to care.

  Up to 42 months

Secondary Outcomes (1)

• Cost of Care

  Up to 36 months

Study Arms (2)

Control

Group without access to telemedicine in the home for acute care issues.

Telemedicine care

Cohort with access to telemedicine in the home for acute care issues.

Other: Telemedicine care

Interventions

Telemedicine care OTHER

Availability of telemedicine

Also known as: Telemedicine

Telemedicine care

Eligibility Criteria

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

Study Population

Adults residing in senior living communities.

You may qualify if:

• Member of the Strong Health Geriatrics Group practice
• Consent to participate
• Resident of facility with telemedicine established

You may not qualify if:

• \- None

Sponsors & Collaborators

• University of Rochester: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Study Sites (1)

University of Rochester

Rochester, New York, 14642, United States

Location

MeSH Terms

Interventions

Telemedicine

Intervention Hierarchy (Ancestors)

Delivery of Health Care; Patient Care Management; Health Services Administration

Results Point of Contact

• Title: Manish N. Shah
• Organization: University of Rochester

manish_shah@urmc.rochester.edu

585-276-6565

Study Officials

• Manish N. Shah, MD

  University of Rochester

  PRINCIPAL INVESTIGATOR

• Kenneth McConnochie, MD

  University of Rochester

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: November 19, 2010
• First Posted: March 29, 2011
• Study Start: October 1, 2010
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: June 9, 2017
• Results First Posted: March 21, 2016

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)