A Pharmacist-led Transitions of Care Program

Not Applicable

Completed

• Conditions: Chronic Disease
• Interventions: Behavioral: Transitions of care

• Registration Number: NCT04556786
• Lead Sponsor: Auburn University

Brief Summary

This study was to show the value of pharmacists in providing transitions of care to and improving health outcomes of uninsured populations. It also aimed to demonstrate the feasibility of implementing a transitions of care program in an indigent care clinic with limited resources. We hypothesized that a pharmacist-led transitions of care program will reduce 30-day hospital readmission rates among the uninsured discharged from a community hospital.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-10-02
• Primary Completion: 2019-07-16
• Study Completion: 2019-07-16
• Status Verified: 2020-09
• Study First Submitted: 2020-09-15
• Study First Submitted QC: 2020-09-18
• Last Update Submitted: 2020-09-18
• Study First Posted: 2020-09-21
• Last Update Posted: 2020-09-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 88

Inclusion Criteria

• Aged 18 years old or older
• Uninsured
• English speaking
• Discharged from East Alabama Medical Center within the past 16 days

Exclusion Criteria

• Patients who did not show up for the first follow-up visit with the study pharmacist after being referred by the care coordinator at East Alabama Medical Center

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Transitions of care	Transitions of care	The study participants in this aim received usual care plus medication reconciliation, daily schedule for medication taking and medical condition monitoring, and follow-up phone calls from a pharmacist.

Primary Outcome Measures

Name	Time	Method
30-day hospital readmission	30-day post-discharge	Whether a study participant had any hospital readmission 30-day post-discharge

Secondary Outcome Measures

Name	Time	Method
60-day hospital readmission	60-day post-discharge	Whether a study participant had any hospital readmission 60-day post-discharge
30-day emergency department (ED) visit	30-day post-discharge	Number of ED visits among study participants in each study arm 30-day post-discharge
90-day hospital readmission	90-day post-discharge	Whether a study participant had any hospital readmission 90-day post-discharge
60-day emergency department (ED) visit	60-day post-discharge	Number of ED visits among study participants in each study arm 60-day post-discharge
90-day emergency department (ED) visit	90-day post-discharge	Number of ED visits among study participants in each study arm 90-day post-discharge
30-day follow-up visit with a primary care provider	30-day post-discharge	Did a study participant keep a follow-up appointment with a primary care provider

Trial Locations

Locations (1)

Mercy Medical Clinic; 🇺🇸 Auburn, Alabama, United States