Validation and Implementation Design of a Pragmatic Randomized Controlled Trial Leveraging Epic Systems 30-day Unplanned Readmission Risk Model
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 68
- 试验地点
- 2
- 主要终点
- Number of transitional and supportive care services (TSC) referrals by providers in the Control group
研究概览
简要总结
The objective is to assess the implementation of a computerized clinical decision support (cCDS) tool for identifying patients at high risk of unplanned readmission who could benefit from existing care programs aimed at reducing readmissions
详细描述
Providers from either service, which includes attending physicians, residents, hospitalists, and advanced practice providers (APPs), will be randomly allocated to an intervention group (IG) or control group (CG). The IG will consist of placing the Epic 30-day unplanned readmission risk score in the story board of providers. If a patient is identified as having a high risk of readmission defined as readmission risk >20%, a link to transitional and supportive care services (TSC) will be appear in the story board. Providers will determine which TSC is best for the patient and may order whichever TSC is appropriate for the patient. The study team will not recommend TSCs. The risk of readmission score will be present from the time of admission for those in the IG. The CG will have the same TSC orders available to them; however, they will not have the risk of readmission score present in their workflow, as such the embedded link to TSC will also not be present.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of Atrium Health Wake Forest Baptist Hospital (AHWFBH)
- •18 years or older
- •meeting inpatient criteria
- •admitted to hospitalist or general medicine teaching services
- •Providers on the hospitalist or general medicine teaching services
排除标准
- •Psychiatric diagnoses during index or subsequent admission
- •left Against Medical Advice (AMA)
- •planned readmission
- •died during index admission
- •Providers who opt out of the study
结局指标
主要结局
Number of transitional and supportive care services (TSC) referrals by providers in the Control group
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Control group
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group- High Risk Readmission Program (HRI)
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - High Risk Readmission Program (HRI)
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Care Plus
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Care Plus
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Faith Health
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Faith Health
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Population Health Pharmacy
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Population Health Pharmacy
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Faith Health
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Faith Health
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Geriatrics Transitional Care
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Geriatrics Transitional Care
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Geriatrics Transitional Care
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Geriatrics Transitional Care
Provider Satisfaction Score
时间窗: Day 30
Provider satisfaction with clinical decision support tool measured by survey
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - High Risk Readmission Program (HRI)
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - High Risk Readmission Program (HRI)
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Population Health Pharmacy
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Population Health Pharmacy
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Mobile Health Clinic
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Mobile Health Clinic
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Mobile Health Clinic
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Control group - Mobile Health Clinic
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Care Plus
时间窗: Day 30
Number of transitional and supportive care services (TSC) referrals by providers in the Intervention group - Care Plus
次要结局
- 30 day Readmission Rate(Day 30)