Reducing Readmissions in High-Risk Ostomates
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ileostomy
- Sponsor
- Washington University School of Medicine
- Enrollment
- 94
- Locations
- 1
- Primary Endpoint
- Impact of early implementation of post-operative assessment by Certified Wound Ostomy Continence Nurse (CWOCN) or physician's assistant (PA) via follow-up telephone call on health care utilization as measured by number of emergency room visits
- Status
- Terminated
- Last Updated
- 7 years ago
Overview
Brief Summary
Preventing complications and readmission after ostomy surgery will decrease the cost of healthcare, improve patient safety, reduce the cost of durable medical equipment required by ostomates, ensure continued specialized care is available, and potentially improve both short and long-term quality of life (QOL) for patients by reducing morbidity and mortality associated with ostomy surgery. The purpose of this study is to measure the effectiveness of patient centered interventions/care pathways and to determine the impact on healthcare utilization, 30-day hospital readmissions, and QOL.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Scheduled to undergo surgery that will result in the creation of an ileostomy.
- •Agreed to receive home healthcare.
- •At least 18 years of age.
- •Speaks English.
- •Has access to telephone.
- •Able to understand and willing to sign an IRB-approved written informed consent document.
Exclusion Criteria
- •Unwilling or unable to receive home health care.
Outcomes
Primary Outcomes
Impact of early implementation of post-operative assessment by Certified Wound Ostomy Continence Nurse (CWOCN) or physician's assistant (PA) via follow-up telephone call on health care utilization as measured by number of emergency room visits
Time Frame: Within the first 30 days after hospital charge (up to approximately 37 days)
Impact of early implementation of post-operative assessment by CWOCN or PA via follow-up telephone call on health care utilization as measured by number of hospitalizations
Time Frame: Within the first 30 days after hospital charge (up to approximately 37 days)
Impact of early implementation of post-operative assessment by CWOCN or PA via follow-up telephone call on health care utilization as measured by number of urgent care visits
Time Frame: Within the first 30 days after hospital charge (up to approximately 37 days)
Secondary Outcomes
- impact that the early telephone follow-up and evaluation have on the number of phone calls to the office(First 30 days after hospital discharge (approximately 37-52 days after admission))
- Impact that the early telephone follow-up and evaluation have on the number of office visits(First 30 days after hospital discharge (approximately 37-52 days after admission))
- Impact that the early telephone follow-up and evaluation have on peristomal skin irritation DET score(30-day CWOCN visit (approximately 37-52 days after admission))
- Impact that the early telephone follow-up and evaluation have on the scores of QOL (quality of life) questionnaire(30-day clinical visit (approximately 37-52 days after admission))
- Impact that the early telephone follow-up and evaluation have on durable medical equipment (DME) usage(30-day CWOCN visit (approximately 37-52 days after admission))