A Pragmatic, Randomized, Controlled Trial Examining the Effectiveness of a Hospital Discharge Follow-up Phone Call Program
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Discharge Follow-up Phone Calls
- Sponsor
- Vanderbilt University Medical Center
- Enrollment
- 3054
- Locations
- 1
- Primary Endpoint
- Number of Participants With In-patient Re-admissions
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The goal of this project is to quantify the impact of post-hospital discharge follow-up phone calls on hospital readmission, ED visits, patient satisfaction, and mortality in a general medicine inpatient population. We will obtain exploratory information on patient sub-groups at high risk for hospital readmission and on those experiencing high benefit from the follow-up phone call intervention. In addition, we will obtain data on discharge plan implementation assistance needed to support a successful transition from inpatient to outpatient care among those reached by the intervention phone call.
Detailed Description
RATIONALE In the current medical literature, it is unclear how follow-up calls influence these outcomes in a general medical population. Some studies have attempted to address this question, but are limited in that they target very specific patient populations, are of insufficient quality, or evaluated follow-up calls as part of a larger care bundle. We will conduct a high quality, real-time clinical care study to determine the efficacy of a follow-up phone call program. STUDY DESIGN This is a single center, pragmatic, randomized, controlled clinical trial to investigate whether a structured post-hospital discharge follow-up phone call can improve patients' transition from in-hospital to outpatient care and improve satisfaction with their care. We will also identify the discharge implementation assistance given to those in the intervention (Phone Call) group. Outcome Measures Primary outcome for this study is readmission event rate within 30 days. Secondary outcomes include patient satisfaction which will be measured as mean Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction scores, all cause VUMC emergency department (ED) visits, the need for assistance with discharge plan implementation, and 30 day mortality.
Investigators
Maame Yaa A. B. Yiadom
MD, MPH, MSCI, Assistant Professor
Vanderbilt University Medical Center
Eligibility Criteria
Inclusion Criteria
- •VUMC patients discharged after an inpatient status hospital stay on a general medicine service.
Exclusion Criteria
- •patients who experience in-hospital death
- •patient discharged to any post-acute care facility or inpatient hospice
- •left the hospital against medical advice
Outcomes
Primary Outcomes
Number of Participants With In-patient Re-admissions
Time Frame: 30 days
Number of participants with in-patient re-admissions
Secondary Outcomes
- Patient Satisfaction: Experience(Within 60 days of Discharge)
- Patient Satisfaction: Likelihood to Recommend the Facility (Top Box Rating)(Within 60 days of Discharge)
- Patient Satisfaction: Hospital Experience (Top Box Rating)(Within 60 days of Discharge)
- Patient Satisfaction: Likelihood to Recommend the Facility(Within 60 days of Discharge)
- VUMC Emergency Department (ED) Visits(30 days)
- Number of Patient Received Discharge Plan Implementation Assistance(30 days)
- Mortality(30 days)