Implementation of the Hospital to Home (H2H) Heart Failure Initiative
1 other identifier
interventional
122
1 country
1
Brief Summary
This study determines if a community of practice of clinicians and quality improvement specialists can be used to implement a national quality initiative known as Hospital to Home (H2H). This quality initative is designed to reduced readmission rates for patients with heart failure or heart attack by improving the transition of care upon discharge.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable heart-failure
Started Jan 2010
Typical duration for not_applicable heart-failure
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2010
CompletedFirst Submitted
Initial submission to the registry
February 12, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2013
CompletedFirst Posted
Study publicly available on registry
May 28, 2014
CompletedMay 28, 2014
February 1, 2013
3.5 years
February 12, 2013
May 27, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
H2H enrollment
H2H enrollment by the facility as determined by the H2H program of the American College of Cardiology and Institute for Healthcare Improvement
6 months
Secondary Outcomes (1)
quality improvement programs initiated due to H2H
6 months
Study Arms (2)
Community of Practice Facilitation
EXPERIMENTALMedical Centers assigned to this arm will recieive the communtiy of practice facilitation. In this process we will contact existing members of the community of practice (called the Heart Failure Network) at the facility as well as attempt to identify new providers and other staff at the facility with an interest in improving heart failure care. The facilitation includes: describing the national H2H program, providing talking points and strategies for local providers to obtain support from their local facility to initiate local projects related to H2H, providing a forum for successful sites to describe how they initiated projects to sites yet to initiate projects.
Usual Care
EXPERIMENTALMedical centers in this arm will hear of H2H through usual routs (calls with facilty Directors and Chiefs of staff).
Interventions
Eligibility Criteria
You may qualify if:
- VA medical centers are the unit of randomization. A medical center will be included if had at least 20 patients discharged with a principal diagnosis of heart failure in 2008
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
VA Palo Alto Health Care System
Palo Alto, California, 94304, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Staff Physician
Study Record Dates
First Submitted
February 12, 2013
First Posted
May 28, 2014
Study Start
January 1, 2010
Primary Completion
July 1, 2013
Study Completion
July 1, 2013
Last Updated
May 28, 2014
Record last verified: 2013-02