Evaluating the Impact of a Supportive Care Program
Completed
- Conditions
- MoralityPatient Engagement
- Interventions
- Behavioral: Supportive care program
- Registration Number
- NCT04971278
- Lead Sponsor
- NYU Langone Health
- Brief Summary
NYU's High Risk Program targets patients who may be more likely to have increased hospitalization due to health conditions that may cause death in the near future. Community Health Workers, a home visiting doctor service, a supportive care nurse, and behavioral health specialist engage the population to address a range of biopsychosocial needs with end goal in increasing support in the community and engaging palliative and hospice care when appropriate to prevent hospital readmissions, shorten length of stay, reduce hospital utilization, and decrease overall patient cost with a focus on hospital spend.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1201
Inclusion Criteria
- 18 years or older
- at or above the 75th percentile on the Mortality Model
- Attributed to a value based contract
Exclusion Criteria
- Less than 18 years of age
- Below the 75th percentile on the Mortality Model
- Not attributed to a value based contract
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description HealthFirst Intervention Supportive care program Patients attributed to HealthFirst who will receive the intervention Mortality Model Intervention Supportive care program Patients who are identified as High Risk by the mortality predictive model and who receive the intervention.
- Primary Outcome Measures
Name Time Method Rate of Advance Care Planning note creation 2 years How many and how often are ACP notes written for patients
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
NYU Langone Health
🇺🇸New York, New York, United States