Effectiveness of Transitional Care Services
NCT03353155 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 270
Last updated 2018-08-24
Summary
The National University Hospital System has designed and is piloting an improved post-discharge care programme called CareHub for patients undergoing cardiac surgery. CareHub is a post-discharge care programme that is designed to streamline and better coordinate current programmes for patients at high risk of readmission.
To assess the clinical and cost-effectiveness of CareHub, our team will randomly assign patients to a usual care setting or CareHub setting, and measure clinical outcomes, patient satisfaction, readmissions, and length of stay through 6 months post-discharge in both groups.Patients enrolled in both groups will receive post-discharge care for six months after discharge. CareHub patients will receive a single point of contact for access to usual care services. Recruitment for this pilot will be from 20 April 2016 - approximately late October 2016, and the CareHub team will provide 6 months of post-discharge support. The entire pilot will thus run from 20 April 2016 - April / May 2017, with data collection extending 6 months after the last patient is enrolled.
Conditions
- Post-cardiac Surgery
Interventions
- BEHAVIORAL
-
Usual Care
- BEHAVIORAL
-
CareHub
Sponsors & Collaborators
-
National University Health System, Singapore
collaborator OTHER - lead OTHER
Principal Investigators
-
John Wong, MD, PhD · National University Hospital System
-
Phillip Phan, PhD · Johns Hopkins University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-07-01
- Primary Completion
- 2016-11-30
- Completion
- 2017-10-01
Countries
- Singapore
Study Locations
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