Effect of a Quality Improvement Initiative to Address Social Determinants of Health on Rehospitalization Rates in Patients With Heart Failure

NCT ID: NCT05388097

Last Updated: 2024-06-14

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

RECRUITING

Clinical Phase

NA

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-03

Study Completion Date

2026-06-30

Brief Summary

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The objective of this program is to improve post-acute care coordination for necessary social services for patients leaving the hospital after recovering from an episode of decompensated heart failure.

Detailed Description

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Conditions

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Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Standard Of Care - No Managed Services

Subjects receive standard medical care and follow-up after hospital discharge

Group Type NO_INTERVENTION

No interventions assigned to this group

Managed Services After Discharge

Subjects receive in-home assessment and care coordination/connection with community resources after hospital discharge

Group Type EXPERIMENTAL

Managed Services

Intervention Type OTHER

coordination of care and assistance with community resources (food, transportation)

Interventions

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Managed Services

coordination of care and assistance with community resources (food, transportation)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Aged 18-99 years
* Resident of Missouri or Kansas
* Current inpatient admission for acute heart failure

Exclusion Criteria

* Under 18 years or over 99 years of age
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Truman Medical Center

OTHER

Sponsor Role collaborator

University of Missouri, Kansas City

OTHER

Sponsor Role collaborator

Mid America Regional Council

UNKNOWN

Sponsor Role collaborator

Saint Luke's Health System

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Olathe Health System

Olathe, Kansas, United States

Site Status RECRUITING

University Health Truman Medical Center

Kansas City, Missouri, United States

Site Status RECRUITING

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status NOT_YET_RECRUITING

Countries

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United States

Central Contacts

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Stacy Farr, PhD

Role: CONTACT

816-932-5846

Tracy Breeding

Role: CONTACT

816-932-2590

Facility Contacts

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Diedre Lammers, RN

Role: primary

913-355-4190

Niccole Neal, RN, BSN

Role: primary

816-404-1275

Evelyn Dean

Role: primary

816-932-5330

Related Links

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https://community.umkc.edu/about/

Curators of the University of Missouri. University of Missouri-Kansas City Community Connect: Doing More Together.

https://education.umkc.edu/outreach-research/

University of Missouri-Kansas City (UMKC). School of Education.

https://res.cloudinary.com/dpmykpsih/image/upload/truman-site-261/media/7535ea7dec474654bdf95f9e7ef463cb/tmc-hospital-hill-2019-final-2.pdf

Truman Medical Centers-Health Sciences District. Community Health Needs Assessment. June 2019.

https://www.tmcgiving.org/our-mission/

Truman Medical Center Foundation

Other Identifiers

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Managed Services Network

Identifier Type: -

Identifier Source: org_study_id

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