Post-Discharge Follow-up Appointment Scheduling
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 41
- 试验地点
- 2
- 主要终点
- Post-discharge follow-up PCP appointment completion rate within 7 days
研究概览
简要总结
This is a prospective clinical trial evaluating whether a behaviorally informed intervention (pre-discharge iPad video scheduling) increases post-discharge primary care physician (PCP) appointment completion compared to the status-quo scheduling process (post-discharge via phone), with the ultimate goal of improving patient health outcomes.
详细描述
Among patients who are discharged from hospitals, having a PCP follow-up visit within 7 days of discharge is associated with decreased likelihood of unplanned readmissions. However, at UCLA Health, less than 60% of patients complete a PCP follow-up visit within this time period.
As part of a Department of Medicine (DOM) quality improvement initiative at UCLA Health, this trial seeks to improve the process of scheduling post-discharge PCP visits and, in turn, post-discharge PCP visit completion rates. The DOM quality team initiated and is leading this program, with the primary goal to improve the quality of post-acute care among patients. In order to rigorously assess the most effective way to improve the process of scheduling post-discharge PCP visits, the DOM quality team has partnered with the UCLA Anderson School of Management.
This study will compare two types of appointment scheduling processes:
- the status quo scheduling process whereby a scheduler calls patients after discharge via telephone to schedule a PCP appointment.
- an iPad-based video scheduling process whereby patients will schedule their PCP appointment before discharge via a video call with the scheduler using an in-room iPad.
Patients discharged from UCLA Health hospital rooms assigned to the control condition will go through the status quo scheduling process, and patients discharged from rooms assigned to the intervention condition will go through the iPad-based video scheduling process.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non 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
- •they are discharged from a hospital room assigned to either the intervention or control condition during the intervention period
- •their discharge is ordered on a weekday (Monday-Friday)
- •their discharge is planned before 3pm
- •they have a UCLA PCP
- •they are not being discharged to a skilled nursing facility (SNF), acute rehab unit (ARU), or assisted living facility (ALF).
排除标准
- •Patients will be excluded from the study who do not meet the inclusion criteria
结局指标
主要结局
Post-discharge follow-up PCP appointment completion rate within 7 days
时间窗: Within 7 days of discharge
Binary indicator of whether the patient had a post-discharge follow-up PCP appointment
次要结局
- Post-discharge follow-up PCP appointment completion rate within 14 days(Within 14 days of discharge)
- Post-discharge follow-up PCP appointment scheduling rate within 7 days(Within 7 days of discharge)
研究者
Richard K. Leuchter, MD
Clinical Instructor of Medicine
University of California, Los Angeles