Discharge Follow-up Phone Call Program

NCT03050918 | Completed Results DMC

• 1 other identifier: 170019
• Study Type: interventional
• Target: 3,054
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this project is to quantify the impact of post-hospital discharge follow-up phone calls on hospital readmission, ED visits, patient satisfaction, and mortality in a general medicine inpatient population. We will obtain exploratory information on patient sub-groups at high risk for hospital readmission and on those experiencing high benefit from the follow-up phone call intervention. In addition, we will obtain data on discharge plan implementation assistance needed to support a successful transition from inpatient to outpatient care among those reached by the intervention phone call.

Conditions

Discharge Follow-up Phone Calls

Outcome Measures

Primary Outcomes (1)

• Number of Participants With In-patient Re-admissions

  Number of participants with in-patient re-admissions

  30 days

Secondary Outcomes (7)

• Patient Satisfaction: Experience

  Within 60 days of Discharge

• Patient Satisfaction: Likelihood to Recommend the Facility (Top Box Rating)

  Within 60 days of Discharge

• Patient Satisfaction: Hospital Experience (Top Box Rating)

  Within 60 days of Discharge

• Patient Satisfaction: Likelihood to Recommend the Facility

  Within 60 days of Discharge

• VUMC Emergency Department (ED) Visits

  30 days

Study Arms (2)

Phone Call Group (Intervention Arm)

ACTIVE COMPARATOR

Follow-up phone call intervention: Patients will receive the first call attempt within 72 hours of hospital discharge with a maximum of 3 call attempts by the study nurse made up until post-discharge day 7. The semi-structured script embedded within the program specific electronic health record Discharge Phone Call Starform is used to guide a conversation to obtain information on potential causes of hospital readmission that can be identified and addressed to improve each patient's transition to outpatient care.

Behavioral: Follow-up Phone Call

Usual Care Group (Control Arm)

NO INTERVENTION

Patients assigned to the control group receive standard discharge planning and follow-up per the usual care of their medical providers.

Interventions

Follow-up Phone Call BEHAVIORAL

Patients will receive a first call attempt within 72 hours discharge.

Phone Call Group (Intervention Arm)

Eligibility Criteria

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

You may qualify if:

• VUMC patients discharged after an inpatient status hospital stay on a general medicine service.

You may not qualify if:

• patients who experience in-hospital death
• patient discharged to any post-acute care facility or inpatient hospice
• left the hospital against medical advice

Sponsors & Collaborators

• Vanderbilt University Medical Center: lead

Study Sites (1)

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Related Publications (2)

• Yiadom MYAB, Domenico HJ, Byrne DW, Hasselblad M, Kripalani S, Choma N, Tucker-Marlow S, Gatto CL, Wang L, Bhatia MC, Morrison J, Harrell FE, Hartert TV, Lindsell CJ, Bernard GR. Impact of a Follow-up Telephone Call Program on 30-Day Readmissions (FUTR-30): A Pragmatic Randomized Controlled Real-world Effectiveness Trial. Med Care. 2020 Sep;58(9):785-792. doi: 10.1097/MLR.0000000000001353.

  PMID: 32732787 DERIVED

• Yiadom MYAB, Domenico H, Byrne D, Hasselblad MM, Gatto CL, Kripalani S, Choma N, Tucker S, Wang L, Bhatia MC, Morrison J, Harrell FE, Hartert T, Bernard G. Randomised controlled pragmatic clinical trial evaluating the effectiveness of a discharge follow-up phone call on 30-day hospital readmissions: balancing pragmatic and explanatory design considerations. BMJ Open. 2018 Feb 14;8(2):e019600. doi: 10.1136/bmjopen-2017-019600.

  PMID: 29444787 DERIVED

Limitations and Caveats

A data lag due to limited national electronic health record informatics connectivity prevents us from tracking adverse events documented outside of our facility. Unmeasured outcomes should be equally distributed between the randomized groups.

Results Point of Contact

• Title: Maame Yaa Yiadom
• Organization: Vanderbilt University Medical Center

maya.yiadom@vumc.org

615-936-0087

Study Officials

• Maame Yaa Yiadom, MD, MPH

  Vanderbilt University Medical Center

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, MPH, MSCI, Assistant Professor

Model Details: This is a single center, pragmatic, randomized, controlled clinical trial.

Study Record Dates

• First Submitted: February 9, 2017
• First Posted: February 13, 2017
• Study Start: February 20, 2017
• Primary Completion: September 28, 2017
• Study Completion: April 15, 2018
• Last Updated: July 29, 2019
• Results First Posted: July 29, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: The study protocol was published in BMJ Open in 2017 (Yiadom MYAB, Domenico H, Byrne D, et al Randomised controlled pragmatic clinical trial evaluating the effectiveness of a discharge follow-up phone call on 30-day hospital readmissions: balancing pragmatic and explanatory design considerations BMJ Open 2018;8:e019600. doi: 10.1136/bmjopen-2017-019600) A full de-identified version of the database including participate data for this study will be available to other investigators upon request after consideration of their proposed use for the data. We are happy to begin accepting requests starting 12 months following the publication of the manuscript including study results.
• Access Criteria: All requests should be directed to the corresponding author (maya.yiadom@vumc.org).

Locations

US (1)