Evaluating the Impact of a Supportive Care Program

NCT ID: NCT04971278

Last Updated: 2023-07-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1201 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-07

Study Completion Date

2022-09-22

Brief Summary

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NYU's High Risk Program targets patients who may be more likely to have increased hospitalization due to health conditions that may cause death in the near future. Community Health Workers, a home visiting doctor service, a supportive care nurse, and behavioral health specialist engage the population to address a range of biopsychosocial needs with end goal in increasing support in the community and engaging palliative and hospice care when appropriate to prevent hospital readmissions, shorten length of stay, reduce hospital utilization, and decrease overall patient cost with a focus on hospital spend.

Detailed Description

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Conditions

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Patient Engagement Morality

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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HealthFirst Intervention

Patients attributed to HealthFirst who will receive the intervention

Supportive care program

Intervention Type BEHAVIORAL

Community Health Workers, a home visiting doctor service, a supportive care nurse, and behavioral health specialist engage the population to address a range of biopsychosocial needs with end goal in increasing support in the community and engaging palliative and hospice care when appropriate to prevent hospital readmissions, shorten length of stay, reduce hospital utilization, and decrease overall patient cost with a focus on hospital spend.

HealthFirst Control

Patients attributed to HealthFirst who will not receive the intervention

No interventions assigned to this group

Mortality Model Intervention

Patients who are identified as High Risk by the mortality predictive model and who receive the intervention.

Supportive care program

Intervention Type BEHAVIORAL

Community Health Workers, a home visiting doctor service, a supportive care nurse, and behavioral health specialist engage the population to address a range of biopsychosocial needs with end goal in increasing support in the community and engaging palliative and hospice care when appropriate to prevent hospital readmissions, shorten length of stay, reduce hospital utilization, and decrease overall patient cost with a focus on hospital spend.

Mortality Model Control

Patients who are identified as High Risk by the mortality predictive model and who do not receive the intervention.

No interventions assigned to this group

Interventions

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Supportive care program

Community Health Workers, a home visiting doctor service, a supportive care nurse, and behavioral health specialist engage the population to address a range of biopsychosocial needs with end goal in increasing support in the community and engaging palliative and hospice care when appropriate to prevent hospital readmissions, shorten length of stay, reduce hospital utilization, and decrease overall patient cost with a focus on hospital spend.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* at or above the 75th percentile on the Mortality Model
* Attributed to a value based contract

Exclusion Criteria

* Less than 18 years of age
* Below the 75th percentile on the Mortality Model
* Not attributed to a value based contract
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NYU Langone Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Leora Horwitz, MD

Role: PRINCIPAL_INVESTIGATOR

NYU Langone Health

Locations

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NYU Langone Health

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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QI-High Risk

Identifier Type: -

Identifier Source: org_study_id

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