Early Screen for Discharge Planning in Community Hospitals

NCT02117804 | Completed

• 1 other identifier: 14-002495
• Study Type: observational
• Target: 225
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine the predictive performance of the Early Screen for Discharge Planning (ESDP) tool in a regional community hospital. The central hypothesis is that the ESDP differentiates between patients in a regional community hospital who would benefit from those who would not benefit from early discharge-planning intervention as measured by problems and unmet continuing care needs, quality of life, length of stay, and referrals to post-acute services.

Conditions

Hospitalization

Keywords

Discharge Planning; Decision Support

Outcome Measures

Primary Outcomes (1)

• Number of problems reported after discharge, measured by the Problems After Discharge Questionnaire - English Version (PADQ-E)

  A problem is defined as any worry, limitation, concern, or difficulty reported by the patient. The Problems After Discharge Questionnaire - English Version measures important patient factors often overlooked that contribute to poor post-acute recovery experience which are recognized as important factors likely to impact readmission.

  1 week after hospital discharge

Secondary Outcomes (2)

• Number of unmet needs reported after discharge, measured by the Problems After Discharge Questionnaire - English Version (PADQ-E)

  1 week after hospital discharge

• Quality of life, measured by the EuroQoL-5D

  1 week after hospital discharge

Study Arms (2)

High ESDP Score

Patients with 10 or greater score on the Early Screen for Discharge Planning at the time of admission.

Other: Early Screen for Discharge Planning

Low ESDP Score

Patients with 9 or lower score on the Early Screen for Discharge Planning at the time of admission.

Other: Early Screen for Discharge Planning

Interventions

Early Screen for Discharge Planning OTHER

This screen is completed by a study coordinator within 24 hours of patient admission to the hospital. The screen measures four variables available from routine hospital admission clinical data (walking limitation, age, living alone prior to admission, and level of disability) that exhibit high sensitivity and specificity (AUC's were .82 and.84) in identifying patients who should receive targeted attention from a DP expert.

High ESDP Score; Low ESDP Score

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study targets adults hospitalized for a variety of medical and surgical conditions in a rural regional community hospital that is part of a large health system in the Midwest. The sample will be limited to adults who are returning home in the community, because the investigators are primarily interested in the problems and unmet needs encountered after discharge during the recovery period at home. To enhance the generalizability of the results, the sample will be stratified based on 2010 national estimates of age categories for hospitalized adults.

You may qualify if:

• years or older
• Able to read and speak English
• Returning home in the community after discharge

You may not qualify if:

• Discharged to facility care
• Pregnant females

Sponsors & Collaborators

• Mayo Clinic: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Study Sites (1)

Mayo Clinic Health System - Eau Claire

Eau Claire, Wisconsin, 54703, United States

Location

MeSH Terms

Interventions

Patient Discharge

Intervention Hierarchy (Ancestors)

Continuity of Patient Care; Patient Care; Therapeutics; Hospitalization; Health Services; Health Care Facilities Workforce and Services; Primary Health Care; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Diane E. Holland, PhD, RN

  Mayo Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Nurse Researcher

Study Record Dates

• First Submitted: April 16, 2014
• First Posted: April 21, 2014
• Study Start: June 1, 2014
• Primary Completion: May 1, 2015
• Study Completion: May 1, 2015
• Last Updated: May 21, 2015

Record last verified: 2015-05

Locations

US (1)