Achieving Patient-Centered Care and Optimized Health In Care Transitions by Evaluating the Value of Evidence

Completed

Conditions studied: Care Transitions

In brief

Funded by the Patient Centered Outcome Research Institute (PCORI), nationally recognized leaders in health care and research methods are partnering with patients and caregivers to evaluate the effectiveness of current efforts at improving care transitions and develop recommendations on best practices for patient-centered care transitions and guidance for spreading them across the U.S.

Key facts

Study ID

NCT02354482

Run by

Mark Williams

People needed

7939

Starts

2015-03-01

Expected to finish

2019-06-30

Last updated by the study team

2019-11-26

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• diverse high risk patient populations, including those with:
• multiple chronic conditions
• mental health issues
• rural area domicile
• limited English proficiency or low health literacy
• low socioeconomic status
• Medicare and Medicaid dual eligible
• disabled and younger than 65.

You may not qualify if…

• children
• non-Medicare patients
• Under police custody
• Under suicide watch
• In-hospital death
• Transferred (not discharged) to another acute care hospital
• Discharged against medical advice
• Admission for primary diagnosis of psychiatric conditions
• Admission for rehabilitation
• Admission for medical treatment of cancer

Where it is running

• UK Healthcare — Lexington, Kentucky, United States

Full record on ClinicalTrials.gov

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