Quality Improvement Program (QIP) to Reduce 30-Day Readmission in Malnourished Hospitalized Patients
Does a Rapid, Comprehensive Oral Nutritional Supplementation Quality Improvement Program (QIP) Reduce 30-Day Readmission in Malnourished Hospitalized Patients?
1 other identifier
observational
2,386
1 country
4
Brief Summary
Newly admitted patients will be screened for risk of malnutrition. Patients will receive either the feeding protocol or current oral nutrition supplement (ONS) practice, pending location. Patients will continue the nutrition plan taking the supplement post discharge. Study team will follow-up with telephone calls to help support post-discharge ONS compliance. Quality and service utilization data will be gathered for analysis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2014
Shorter than P25 for all trials
4 active sites
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
October 1, 2014
CompletedFirst Submitted
Initial submission to the registry
October 8, 2014
CompletedFirst Posted
Study publicly available on registry
October 13, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2015
CompletedOctober 7, 2015
October 1, 2015
10 months
October 8, 2014
October 5, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Post-discharge readmissions
Non-elective readmission 30 days post discharge.
November 2014 - April 2015, 30 days post discharge
Secondary Outcomes (1)
Hospital length of stay
October 2014 - March 2015, up to 6 months
Study Arms (2)
ONS QIP
Two (2) hospitals will administer the new rapid, comprehensive oral nutritional supplementation (ONS) QIP.
ONS Standard Feeding
Two (2) hospitals will use their current "standard" ONS feeding protocol.
Interventions
Eligibility Criteria
Newly admitted patients to four hospitals within the Advocate Health Care System that have been identifed to be at risk for malnutrition.
You may qualify if:
- Patient is ≥ 18 years of age.
- Patient is screened for malnutrition with an MST score ≥ 2 (see Appendix C).
- Patient has length of stay of hospital stay \> 2 days.
- Patient is able to consume foods and beverages orally.
- Patient receives Ensure, Nepro or Glucerna during the course of his or her hospital stay in connection with the QIP.
You may not qualify if:
- Patient is pregnant.
- Patient is intubated, receiving tube feeding or parenteral nutrition.
- Patient unable to provide HIPAA authorization and informed consent.
- Patient is discharged to hospice care.
- Patient has a condition that would preclude ingestion / absorption of the oral nutritional supplements, including allergic response to any ONS ingredient.
- Patient has severe dementia or delirium, brain metastases, eating disorder, history of significant neurological or psychiatric disorder.
- Patient has stated an allergy or intolerance to any of the ingredients in the study products.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Abbott Nutritionlead
- Wake Forest University Health Sciencescollaborator
Study Sites (4)
Advocate Good Shepherd Hospital
Barrington, Illinois, 60010, United States
Advocate Condell Medical Center
Libertyville, Illinois, 60048, United States
Advocate Christ Medical Center
Oak Lawn, Illinois, 60453, United States
Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068, United States
Related Publications (1)
Sriram K, Sulo S, VanDerBosch G, Kozmic S, Sokolowski M, Summerfelt WT, Partridge J, Hegazi R, Nikolich S. Nutrition-Focused Quality Improvement Program Results in Significant Readmission and Length of Stay Reductions for Malnourished Surgical Patients. JPEN J Parenter Enteral Nutr. 2018 Aug;42(6):1093-1098. doi: 10.1002/jpen.1040. Epub 2018 Feb 2.
PMID: 29392736DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Jamie Partridge, PhD, MBA
Abbott Nutrition
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 8, 2014
First Posted
October 13, 2014
Study Start
October 1, 2014
Primary Completion
August 1, 2015
Study Completion
August 1, 2015
Last Updated
October 7, 2015
Record last verified: 2015-10