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A Pragmatic Trial of an Active Choice Nudge for Generalist or Specialist Palliative Care for Seriously Ill Inpatients

Not Applicable
Conditions
Palliative Care
Interventions
Behavioral: Generalist + Specialist palliative care
Behavioral: Pre-Intervention phase
Registration Number
NCT05502861
Lead Sponsor
University of Pennsylvania
Brief Summary

This stepped-wedge, cluster-randomized pragmatic trial among six hospitals at University of Pennsylvania Health System will test a behavioral intervention embedded within the electronic health record that nudges hospital clinicians to either provide palliative care (PC) themselves (generalist PC) or consult specialists (specialty PC) for inpatients at high risk of death within 6 months. The trial will evaluate the intervention's effect compared to usual care on the primary outcome of hospital-free days through 6 months, and other patient-centered, clinical, and economic outcomes. The trial also includes an embedded mixed methods study to understand clinician and hospital contextual factors that influence the intervention's uptake.

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
16000
Inclusion Criteria
  • Age 18 or older
  • Inpatient or observation admission status at a study hospital
  • Predicted 6-month mortality risk moderate (e.g., ≥40%) or higher
Exclusion Criteria
  • Under 18 years of age
  • Inpatient primary service: hospice, rehabilitation, obstetrics, psychiatry
  • Patients that have died or been discharged before 0800 on hospital day 3 when the mortality risk is generated and enrollment occurs

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
InterventionGeneralist + Specialist palliative careThe study's intervention is a prognostic-triggered EHR alert to nudge clinicians to provide generalist or specialist PC. The alert notifies the clinician that the patient is likely to benefit from PC, and requires clinicians to actively choose to provide generalist PC themselves, consult PC specialist, or to defer PC. If a clinician chooses to consult specialist PC, a second alert will fire that enables them to easily and quickly place the consult order. The alert will trigger for all patients with moderate or higher 6-month mortality risk on second full hospital day at 8AM.
Control/Usual CarePre-Intervention phaseDuring the control phase, patients meeting eligibility criteria will be enrolled for study data collection but there will be no attempt to influence delivery of care. The length of the control phase will differ at each hospital dependent on the sequence in which hospitals are randomly assigned to switch to the intervention phase. All hospitals contribute a minimum of 15 weeks of outcomes data prior to adopting the intervention.
Primary Outcome Measures
NameTimeMethod
Hospital-free days6 months

Days from enrollment spent alive and not in an acute care hospital through 6 months or death

Secondary Outcome Measures
NameTimeMethod
Hospital discharge disposition written in discharge orderup to 6 weeks

Discharge to home, other acute facility, skilled nursing facility

McGill Quality of Life-Revised6 months

14-item survey instrument; score 0-10; continuous

Pain scoresup to 6 weeks

pain level according to standardized scale across hospitals after enrollment

Hospice enrollmentup to 6 weeks

yes if new hospice enrollment

Hospital length of stayup to 6 weeks

number of days in hospital staring at enrollment

Hospital all-cause mortalityup to 6 weeks

death occurred in the hospital or within 1 day of discharge

Goals of Care (GOC) conversation within a discrete GOC note typeup to 6 weeks

Presence or absence of documented GOC conversation after enrollment detected by natural language programming algorithm or by a discrete GOC note type

Time to palliative care consultup to 6 weeks

starts at time of enrollment until receipt of first documented inpatient palliative care consultation note

Future acute care costsenrollment to 6 months post hospital discharge

acute care costs over the 6 month follow up period

Goal-concordant careenrollment to 6 months post hospital discharge

yes if treatments received over 6 month follow up align with goals documented in the EHR; no if treatments are misaligned with goals, or goals are unclear or undocumented

CMS-MACRA PC Quality1 month

(1) felt heard and understood (4-items); (2) received desired help for pain (3-items); continuous

Palliative care consultation noteup to 6 weeks

Presence or absence of signed inpatient palliative care note after enrollment

Change in code status found in chart documentationup to 6 weeks

no change, new limitations on life support (e.g., DNAR, DNI) or discontinued limitations on life support

Intensive care unit admissionup to 6 weeks

admitted to any ICU during hospital encounter

180-day all cause mortality180 days

180 days after enrollment

Home or clinic palliative care referralup to 6 weeks

yes if new home of clinic palliative care order after enrollment

30-day hospital readmission30 days

readmission within 30 days of discharge

Hospital total costsup to 6 weeks

continuous hospital costs

Trial Locations

Locations (1)

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

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