Combined Social Worker and Pharmacist Transitional Care Program
NCT01503554 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2013-05-31
Summary
In an effort to improve care coordination and reduce hospital readmissions, Rush University Medical Center developed the Combined Social Worker and Pharmacist Program, which targets both the psychosocial and clinical risk factors that can lead to rehospitalization. This study will evaluate the impact of this program on 30-day same hospital readmission rates and total cost of care.
Conditions
- Patient Admission
- Patient Discharge
Interventions
- BEHAVIORAL
-
Combined Social Worker and Pharmacist Program
Physician or nurse performs a med rec during hospital stay Clinical pharmacist completes an additional med rec of home meds, assesses med-related risks, and provides education After discharge, a Master's prepared social worker contacts the patient and conducts an assessment from a psychosocial perspective to identify any unmet needs. Pharmacist will be available to patients should they have any medication-related questions post-discharge
- BEHAVIORAL
-
No Intervention: Usual Care
Patient receives usual care upon discharge from the hospital.
Sponsors & Collaborators
-
Rush University Medical Center
lead OTHER
Principal Investigators
-
Shannon Sims, MD, PhD · Rush University Medical Center
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2011-04-30
- Primary Completion
- 2011-12-31
- Completion
- 2011-12-31
Countries
- United States
Study Locations
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