PATient Navigator to rEduce Readmissions
| Status: | Completed |
|---|---|
| Conditions: | Chronic Obstructive Pulmonary Disease, Pneumonia, Cardiology, Cardiology, Anemia, Pulmonary, Pulmonary |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Hematology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 2/17/2019 |
| Start Date: | July 2014 |
| End Date: | October 2016 |
Staying out of the hospital is valued by patients and their caregivers. Their interests
converge with those of hospitals now that high 30-day readmission rates for some conditions
place hospitals at risk for financial penalties from the Centers for Medicare and Medicaid
Services. This study focuses on developing and testing a program that combines a community
health worker (lay patient advocate, acting as a "Patient Navigator") and a peer-led
telephone support line to improve patient experience during hospital to home transition.
converge with those of hospitals now that high 30-day readmission rates for some conditions
place hospitals at risk for financial penalties from the Centers for Medicare and Medicaid
Services. This study focuses on developing and testing a program that combines a community
health worker (lay patient advocate, acting as a "Patient Navigator") and a peer-led
telephone support line to improve patient experience during hospital to home transition.
Inclusion Criteria:
1. Age 18 years or older on date of hospital admission
2. Hospitalized at the University of Illinois Hospital, Chicago
3. Admission diagnosis, per treating physician, of pneumonia, COPD, sickle cell disease,
heart failure, or myocardial infarction
4. Receive medical care on an inpatient medical service
Exclusion Criteria:
1. Unable to understand and speak English
2. Unable/decline to give informed consent
3. Previous participant in PArTNER
4. Planned transfer to another acute care facility
5. Planned discharge to facility other than home (e.g. long term care facility)
6. Currently on hospice or plans to discharge home to hospice
7. Current plans to leave against medical advice
We found this trial at
1
site
Chicago, Illinois 60612
Principal Investigator: Jerry A Krishnan, MD, PhD
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