Multi-Disciplinary Discharge Counseling and MTM Services After Discharge for Heart Failure Patients
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 1
- 试验地点
- 4
- 主要终点
- Reduction in hospital readmissions
研究概览
简要总结
Readmission to a hospital shortly after discharge is a common and costly problem. In the United States patients with a diagnosis of heart failure currently experience an elevated 30 day readmission rate of approximately 20%. By providing patients with medication related counseling at discharge by a pharmacist, home medications at discharge, and seeing the patient again in a pharmacist-run Medication Therapy Management (MTM) clinic 7 days after discharge, the study anticipates achieving its primary goal of showing a reduction in the readmission rate. Secondary goals are: 1) to determine patients understanding of the medication they are taking, 2) to evaluate satisfaction with the comprehensive discharge counseling service, and 3) determine the number of interventions made and benefit of the MTM clinic.
详细描述
The active arm of this study (medication related hospital discharge counseling by a pharmacist, home medications, and 7 day follow-up visit at a pharmacist run MTM clinic) is available to all subjects. To study the primary goal of reducing the 30 day readmission rate the data obtained from the active arm subjects will be compared to a match group of hospitalized patients that were previously discharged with a diagnosis of heart failure. The data for all secondary study goals will be obtained directly from the active arm subjects.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Heart Failure with high risk for readmission.
- •Enroll in study prior to hospital discharge.
排除标准
- 未提供
研究组 & 干预措施
Discharge counseling and MTM follow-up
At the time of hospital discharge the subject will receive:
- Discharge medication counseling from a pharmacist
- Home medication if needed
- Approximately 7 days after hospital discharge the subject have a Follow-up visit at Medication Therapy Management clinic.
干预措施: Home medication if needed (Other)
Discharge counseling and MTM follow-up
At the time of hospital discharge the subject will receive:
- Discharge medication counseling from a pharmacist
- Home medication if needed
- Approximately 7 days after hospital discharge the subject have a Follow-up visit at Medication Therapy Management clinic.
干预措施: Discharge medication counseling from a pharmacist (Other)
Discharge counseling and MTM follow-up
At the time of hospital discharge the subject will receive:
- Discharge medication counseling from a pharmacist
- Home medication if needed
- Approximately 7 days after hospital discharge the subject have a Follow-up visit at Medication Therapy Management clinic.
干预措施: Follow-up visit at Medication Therapy Management clinic (Other)
结局指标
主要结局
Reduction in hospital readmissions
时间窗: 30 day
The readmission rate for the 50 subjects involved in this study will be compared to an equal number patients retrospectively reviewed from a 2011 patient list and matched for heart failure severity. The primary outcome will based on a comparison of the ratio of patients readmitted to the hospital before the discharge instruction program started and after.
次要结局
- Patient assessment of home medications knowledge at time of hospital discharge(3 days)
- Patient satisfaction with comprehensive discharge counseling service.(7 Days)
- Number of interventions made at the MTM clinic.(7 Days.)
- Types of interventions made at the MTM clinic.(7 days)