MORE-PC: A 30-day Automated SMS Program to Support Post-discharge Transitions of Care
Completed · Not applicable
Conditions studied: Care Transitions
In brief
This study will evaluate a 30-day post-discharge intervention using an automated SMS platform to monitor patients and facilitate communication with their primary care practice. The population will be patients who receive care from participating practices and are discharged from an inpatient stay. In addition to the usual phone call from their practice, patients will be randomized to enrollment in the program, wherein they will receive automated SMS messages on a tapering schedule over 30 days.
Key facts
- Study ID
- NCT05245773
- Run by
- University of Pennsylvania
- People needed
- 5000
- Starts
- 2022-03-29
- Expected to finish
- 2023-02-03
- Last updated by the study team
- 2023-02-27
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- The study subjects will be medium to high risk (UPHS risk score 4 and above; an internally developed and validated score assessing a patient's risk for readmission) adult (age ≥ 18) patients of the Penn Primary Care Practices who are discharged home from acute inpatient care in the broad Philadelphia region as identified in HealthShare Exchange (HSX) reports
You may not qualify if…
- This study will exclude discharges who do not meet criteria for transitional care management. These criteria include discharges after 1) planned chemotherapy admissions; 2) certain scheduled surgeries, including spinal surgery, joint replacements, gastric bypass, transurethral resection of the prostate, gynecologic surgeries, and transplants; 3) obstetrics admissions.
- We will exclude patients from re-enrollment during the study period (once they have been enrolled once, they will not be enrolled again). We will also exclude patients being discharged to home hospice.
Where it is running
- University of Pennsylvania School of Medicine — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
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