Anticoagulation Medical Home
| Status: | Completed |
|---|---|
| Conditions: | Cardiology, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/18/2018 |
| Start Date: | October 21, 2016 |
| End Date: | January 5, 2018 |
Anticoagulation Medical Home for High-Risk Patients With Venous Thromboembolism: Patient Education, Anticoagulant Decision-Making, and Patient Self-Efficacy in the Home Coordinated by the UMass Anticoagulation Team
The primary study goal is to improve the quality of care transitions for patients with new
episodes of venous thromboembolism (VTE).
Primary Outcomes: To measure differences in the quality of care transition, as measured by
the Care Transition Measure (CTM)-15 in the investigators target population of patients with
incident VTE randomized to either a multicomponent, anticoagulation medical home intervention
or usual care.
Secondary Major Outcomes: To measure the difference in recurrent VTE, major hemorrhage,
all-cause re-admissions, and mortality between the investigators intervention and comparison
groups at 30 and 90 days in the investigators target population.
Secondary Other Outcomes: To measure patient knowledge, health-related quality of life, and
time in the therapeutic range (TTR) for patients on warfarin in the investigators target
population.
episodes of venous thromboembolism (VTE).
Primary Outcomes: To measure differences in the quality of care transition, as measured by
the Care Transition Measure (CTM)-15 in the investigators target population of patients with
incident VTE randomized to either a multicomponent, anticoagulation medical home intervention
or usual care.
Secondary Major Outcomes: To measure the difference in recurrent VTE, major hemorrhage,
all-cause re-admissions, and mortality between the investigators intervention and comparison
groups at 30 and 90 days in the investigators target population.
Secondary Other Outcomes: To measure patient knowledge, health-related quality of life, and
time in the therapeutic range (TTR) for patients on warfarin in the investigators target
population.
Inclusion Criteria:
- hospital admission;
- diagnosis of:
- VTE (first or subsequent episode); or
- DVT of leg or pelvis or upper extremities or other site confirmed by ultrasound
or CT scan; or
- PE with a positive CT spiral exam, pulmonary arteriogram, CT angiogram, or high
probability ventilation perfusion scan.
- for whom it is anticipated the treating medical team will prescribe an oral
anticoagulant upon hospital discharge.
Exclusion Criteria:
- Not engaged in Primary Care (has not seen a Primary Care Practitioner within the
previous 18 months).
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