Enhancing and Scaling a High-Touch Home-based Primary Care Program

NCT03545698 | Completed

• 1 other identifier: 17-0244-NH
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

The overall goal of the West Health Institute-Northwell PRP is to identify a clinical and economic model that can support scaling the Northwell House Calls program within a four year implementation period, while maintaining the same level of quality, patient/caregiver satisfaction, and "high touch" provider-patient communication that the program is known for. The Clinical Trial portion of this study refers to the secondary endpoint listed below.

Conditions

Satisfaction, Consumer; Caregiver Stress

Outcome Measures

Primary Outcomes (1)

• Telehealth Acceptability Among Geriatric, Homebound patients

  The proportion of geriatric patients who agree to use telehealth for a care management visit in lieu of a phone call visit, out of those who are offered the service.

  12 months

Secondary Outcomes (3)

• Telehealth Completion Success

  12 months

• Telehealth Satisfaction Among Geriatric Patients

  12 months

• Telehealth Satisfaction Among RNs and Social Workers

  12 months

Study Arms (2)

Telehealth Intervention

ACTIVE COMPARATOR

Other: Avizia Telehealth Platform

Non-Telehealth Intervention

NO INTERVENTION

Interventions

Avizia Telehealth Platform OTHER

Avizia will be utilized as a communication tool between home-based caregivers (family members, formal caregivers, or informal caregivers) and the House Calls care management team.

Telehealth Intervention

Eligibility Criteria

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

You may qualify if:

• Patients from the chronic and complex phone-only acuity level, from House Calls, Advanced Illness Management, Northwell Health Solutions.
• If possible, we will recruit both patient and caregiver dyads.
• The caregiver can be a family member or a paid caregiver.
• If patients are cognitively impaired, then they must have a caregiver who can verbally confirm that they will be present with the patient for the telehealth visit. -Caregiver must be present during Avizia enrollment with the research staff to ensure proper use of the device.
• The eligible patient or the eligible caregiver, must have a mobile phone number or email address listed in Allscripts is the associated chart, in order to participate in an Avizia visit with House Calls.
• Patients will be able to participate in the study regardless of cognitive impairment, if they have a caregiver who is able to consent on their behalf. This caregiver must be their power of attorney or family member, but does not have the be the caregiver present for the Avizia visit.

You may not qualify if:

• Patients under 18
• Patients that are cognitively impaired and unable to use the device, who also do not have a present and willing caregiver who can use the device.
• If the patient and willing caregiver do not have an email address or phone number listed on the associated chart on Allscripts.
• Patient or caregiver does not have a smart phone, tablet, laptop or desktop computer able to launch Avizia.

Sponsors & Collaborators

• Northwell Health: lead
• Gary and Mary West Health Institute: collaborator

Study Sites (1)

Northwell Health Solutions, Advanced Illness Management

Manhasset, New York, 11030, United States

Location

MeSH Terms

Conditions

Consumer Behavior; Caregiver Burden

Condition Hierarchy (Ancestors)

Behavior; Stress, Psychological; Behavioral Symptoms

Study Officials

• Kristopher Smith, MD MPP

  Northwell Health Solutions

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Director, House Calls

Study Record Dates

• First Submitted: May 9, 2018
• First Posted: June 4, 2018
• Study Start: June 26, 2018
• Primary Completion: February 15, 2019
• Study Completion: June 19, 2019
• Last Updated: July 29, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)