Improving the Hospital-to-Home Transition Through Post-Discharge Virtual Visits in Primary Care

Not Applicable

Suspended

• Conditions: Telehealth
• Interventions: Other: Telehealth

• Registration Number: NCT04236583
• Lead Sponsor: Weill Medical College of Cornell University

Brief Summary

The purpose of this study is to test a new process for having a virtual visit with a primary care doctor after discharge from the hospital, instead of an in-person visit.

Detailed Description

The goal of this project is to fully develop the protocol for identifying patients who would benefit from a virtual visit and develop the protocol for implementing the virtual visit. The value of this project is that the results will provide ample preliminary data for a future randomized controlled trial to determine the effectiveness of the intervention. This project will have an intervention group only. The hypothesis is that the intervention can be implemented in a way that is feasible and acceptable to providers and patients.

Study Timeline

• Study First Submitted: 2020-01-17
• Study First Submitted QC: 2020-01-17
• Study First Posted: 2020-01-22
• Study Start: 2020-02-28
• Status Verified: 2020-04
• Last Update Submitted: 2020-04-06
• Last Update Posted: 2020-04-08
• Primary Completion: 2021-12
• Study Completion: 2021-12

Recruitment & Eligibility

• Status: SUSPENDED
• Sex: All
• Target Recruitment: 25

Inclusion Criteria

• Medical inpatients, age >=18, with an existing WCIMA attending as his or her PCP
• Patients with disposition to home
• Medically appropriate for a video visit (as determined by inpatient attending)
• Patients or caregivers must be able to enroll in MyChart before discharge, must be capable of using the Weill Cornell Connect app to do a video visit at home using broadband access or the equivalent (must own a device compatible with the app, e.g.

smartphone or tablet)

• English speaking
• Cognitively able to participate or Caregiver must be able to participate

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Telehealth	Telehealth	Eligible patients will be given the option to consent to having one virtual visit with their primary care physician within four weeks after discharge from the hospital. Usual follow-up care will occur during this visit.

Primary Outcome Measures

Name	Time	Method
Proportion of patients who consent to participate out of all those found to be eligible	6 months post-intervention
Proportion of patients who successfully schedule video visits out of all of those who consent	6 months post-intervention
Proportion of patients meeting inclusion criteria over the study period out of all patients being discharged over the same time period	6 months post-intervention
Proportion of patients who successfully complete video visit out of all of those who scheduled	6 months post-intervention

Secondary Outcome Measures

Name	Time	Method
Physician satisfaction with the video visit	Within one month post-intervention	Measured through multiple choice, yes/no, and free-response (only asked if specific responses are received) questions.
Patient satisfaction with the video visit	Within one month post-intervention	Based on a previously validated instrument (Parmanto et. al, Int J Telerehab 2016 Spring; 8(1): 3-10). Measured through 5-point likert scale,free response, multiple choice, and yes/no questions.
Number of in-person visits instead of or in addition to video visit	6 months post-intervention

Trial Locations

Locations (1)

Weill Cornell Medicine; 🇺🇸 New York, New York, United States