Evaluating the Impact of a Supportive Care Program
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- NYU Langone Health
- Enrollment
- 1,201
- Locations
- 1
- Primary Endpoint
- Rate of Advance Care Planning note creation
Study Overview
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.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Outcomes
Primary Outcomes
Rate of Advance Care Planning note creation
Time Frame: 2 years
How many and how often are ACP notes written for patients
Secondary Outcomes
No secondary outcomes reported