Impact of a Nutrition Quality Improvement Program on Outcomes of Malnourished Patients

Completed

• Conditions: Malnutrition
• Interventions: Other: Quality Improvement Program

• Registration Number: NCT03011944
• Lead Sponsor: Abbott Nutrition

Brief Summary

A nutrition-focused QIP will be implemented as standard of care at select branches of the home health division of the health care system. The QIP will be comprised of three groups of patients, Group 1 will consist of hospitalized, at-risk/malnourished patients being discharged to home health, Group 2 will consist of outpatients at-risk/malnourished patients enrolled in home health and Group 3 will consist of SNF, at-risk/malnourished patients being discharged to home health. Groups will be followed for 90 days post enrollment. The QIP groups will be compared to historical controls, concurrent controls, and matched concurrent controls across other sites within the health system.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-12
• Study First Submitted: 2016-12-28
• Study First Submitted QC: 2017-01-04
• Study First Posted: 2017-01-06
• Primary Completion: 2017-12
• Study Completion: 2018-03
• Status Verified: 2018-05
• Last Update Submitted: 2018-05-24
• Last Update Posted: 2018-05-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1546

Inclusion Criteria

• Admitted to home health from within the healthcare system's hospitals, skilled nursing facility (SNF) or outpatient clinics
• Patient is screened positive for malnutrition during hospital stay and/or by home health nutrition screening tool upon enrollment into home health
• Patient is able to consume foods and beverages orally and the physician has not indicated otherwise

Exclusion Criteria

• Enrollment to home health from a hospital, SNF or outpatient clinic not affiliated with the healthcare system
• Patient is pregnant
• Patient is intubated, receiving tube feeding or parenteral nutrition
• Patient has severe dementia or delirium
• History of significant psychiatric disorder
• Any other disorder that may interfere with QIP product consumption or compliance with QIP protocol procedures as per the admitting clinicians
• Subject has stated an allergy or intolerance to any of the ONS ingredients
• Patients receiving hospice care

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Quality Improvement Program	Quality Improvement Program	This group will consist of hospitalized and SNF, at-risk/malnourished patients being discharged to home health and outpatients at-risk/malnourished patients enrolled in home health.

Primary Outcome Measures

Name	Time	Method
Hospital readmissions or admissions	Enrollment to Home Health to 90 Days

Secondary Outcome Measures

Name	Time	Method
Healthcare resource utilization and costs	Enrollment to Home Health to 90 Days

Trial Locations

Locations (2)

Advocate at Home; 🇺🇸 Des Plaines, Illinois, United States

Advocate at Home- South Office; 🇺🇸 Oak Lawn, Illinois, United States