The Impact of Post Discharge One-Time Home Visit: Bridging the Gap Between Hospital and Home.

Maimonides Medical Center0 sitesOctober 2006

ConditionsCOPD Coronary Artery Disease Diabetes Mellitus Stroke

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: COPD
Sponsor: Maimonides Medical Center
Status: Withdrawn
Last Updated: 10 years ago

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

A single post-hospital discharge home visit by a geriatric nurse practitioner or geriatric fellow can bridge the gap and ease the transition for elderly frail patients returning home after hospital admission. We believe this intervention will reduce medication errors, ensure follow-up discharge plans, decrease re-hospitalization rates, and decrease morbidity and mortality.

Registry

clinicaltrials.gov

Start Date

October 2006

End Date

TBD

Last Updated

10 years ago

Study Type

Observational

Sex

All

Investigators

Sponsor

Maimonides Medical Center

Eligibility Criteria

Inclusion Criteria

•Patients admitted to the ACE unit during the study time frame, age 65 and over, and residing in the community before and after discharge from the hospital. Selected patients will have complex discharge plans including referrals to home care agencies, poly-pharmacy, multiple co-morbidities, history of repeated hospitalizations, and poor social support systems in the community. In addition, eligible patients will have at least one of eight admitting diagnoses, chosen for their high likelihood of requiring post-discharge home care needs. These diagnosis include: CHF, COPD, coronary artery disease, diabetes mellitus, stroke, hip fracture, peripheral vascular disease or cardiac arrhythmia. The GNP or fellow will then request permission from the patient's primary physician to do a one-time post-discharge home visit.

Exclusion Criteria

•Patients discharged to settings other than their homes (i.e. nursing home, sub-acute rehabilitation, etc.)Patients discharged to settings other than their homes (i.e. nursing home, sub-acute rehabilitation, etc.)