Evaluation of a Hospital Discharge Clinic to Improve Care Coordination and Reduce Rehospitalization in Low Income Adults
Completed · Not applicable
Conditions studied: Patient Readmission
In brief
This randomized controlled trial examines the effects of a transitional care clinic for high-risk patients at an academic medical center who had no trusted medical home. The trial will provide the first reliable evaluation of the Northwestern Transitional Care Clinic / Follow Up Clinic's (NFC) impact on re-admissions, care coordination, and costs. This research will allow us to assess the value of the NFC and similar models of care for providing a more coordinated care approach that results in better treatment outcomes for urban poor populations. It is hypothesized that NFC patients will have fewer 90-day re-hospitalizations and are more likely to have a usual source of primary care 6 months after discharge.
Key facts
- Study ID
- NCT03066492
- Run by
- Northwestern University
- People needed
- 654
- Starts
- 2015-09-02
- Expected to finish
- 2017-05-01
- Last updated by the study team
- 2019-06-25
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- All patients eligible for Northwestern Transitional Follow Up care post-discharge from Northwestern Memorial Hospital
- Adults (18 years of age or older)
- Patients referred by an Northwestern Memorial Hospital care provider for discharge coordination by the Northwestern Transitional Follow Up Clinic
You may not qualify if…
- Individuals who are not yet adults (infants, children, teenagers)
- Pregnant Women
- Prisoners
Where it is running
- Northwestern Memorial Hospital — Chicago, Illinois, United States
Full record on ClinicalTrials.gov
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