Skilled Nursing Facility at Home: A Pilot
Completed · Not applicable
Conditions studied: Skilled Nursing Facilities, Rehabilitation
In brief
We seek to pilot a randomized controlled evaluation of skilled nursing facility care at home. We plan to enroll patients who would normally be sent to a skilled nursing facility following following hospitalization. As a substitute for a skilled nursing facility, we will deploy a technology-enabled team to the home to care for patients.
Key facts
- Study ID
- NCT04048590
- Run by
- Brigham and Women's Hospital
- People needed
- 10
- Starts
- 2019-08-05
- Expected to finish
- 2019-12-19
- Last updated by the study team
- 2019-12-23
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- >=18 years old
- Requires skilled nursing facility care following hospitalization, as determined by inpatient team
- Lives within 10 miles of Brigham and Women's Hospital (BWH) or Brigham and Women's Faulkner Hospital (BWFH)
- Has capacity to consent
- Likely to return to community dwelling status
- Patient on medical service
- Pending low volume, we reserve ability to phase in patients on surgical services, including orthopedic trauma
You may not qualify if…
- Social
- Undomiciled
- No working heat (October-April), no working air conditioning if forecast > 80°F (June-September), or no running water
- In police custody
- Resides in facility that does not allow advanced on-site medical care
- Domestic violence screen positive
- Clinical
- Requires care of new ostomy or teaching ostomy care associated with complication
- Requires frequent suctioning, tracheostomy, and/or ventilator needs
- Requires significant durable medical equipment not already in place at home (e.g., Hoyer lift)
- Home unable to accommodate patient in current state as determined by the SNF-at-Home Checklist for Home
- Acute delirium
- End stage renal disease on hemodialysis
- On methadone requiring daily pickup of medication
- Requires administration of intravenous controlled substances
- Requires administration of specialty medications not already in place at home
- Requires transfusion of blood products
- Requires multiple transfers back and forth to hospital for specialty medical care
- Home SNF census is full
Where it is running
- Brigham and Women's Hospital — Boston, Massachusetts, United States
- Brigham and Women's Faulkner Hospital — Boston, Massachusetts, United States
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.