Mobile Integrated Health in Heart Failure

Completed · Not applicable

Conditions studied: Heart Failure

In brief

The purpose of this study is to compare how two different types of care after a hospitalization reduce hospital readmissions and symptom burden. The two types of care are a Transitions of Care Coordinator and Mobile Integrated Health. In the Transitions of Care Coordinator group, participants will receive a phone call from a care coordinator right after they go home following a hospitalization to check in. In the Mobile Integrated Health group, participants will be offered access to a community paramedic in case they need medical care while they are recovering at home after a hospitalization. The community paramedic will come to their home to perform an evaluation and set up a visit with an emergency physician via video conference. They may receive treatment at home or be transported to the emergency department. The investigators will be compare how well a Transitions of Care Coordinator and Mobile Integrated Health reduce readmissions to the hospital within 30 days of discharge and improve patient-reported health-related quality of life. The investigators hypothesize that participants in the Mobile Integrated Health group will have fewer readmissions to the hospital within 30 days of discharge and better health-related quality of life compared to participants in the Transitions of Care Coordinator group.

Key facts

Study ID

NCT04662541

Run by

Columbia University

People needed

2005

Starts

2021-01-04

Expected to finish

2024-11-01

Last updated by the study team

2026-02-19

Who can join

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

You may qualify if…

• Medicare or Medicaid recipient
• Current diagnosis of HF
• Receiving inpatient care at NewYork Presbyterian or Mount Sinai Health Systems
• Live in NYC

You may not qualify if…

• Non-English, Spanish, Mandarin, or French speaking
• Diagnosis of dementia or psychosis
• Anticipated discharge to, or current residence in, skilled nursing facility or rehab center
• Anticipated discharge to, or currently receiving, hospice including home hospice
• Current candidate for and awaiting heart transplant
• Current left ventricular assist device (LVAD)

Where it is running

• Mount Sinai Health System — New York, New York, United States
• Columbia University Irving Medical Center — New York, New York, United States
• New York Presbyterian/Weill Cornell Medicine — New York, New York, United States

Full record on ClinicalTrials.gov

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