NCT02114515

PATient Navigator to rEduce Readmissions

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,029 (actual)
• Sponsor: University of Illinois at Chicago · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

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.

Conditions

• Chronic Obstructive Pulmonary Disease
• Heart Failure
• Sickle Cell Disease
• Myocardial Infarction
• Pneumonia

Interventions

Type	Name	Description
BEHAVIORAL	Hospital usual care	Written discharge instructions provided to patients prior to hospital discharge.
BEHAVIORAL	Navigator intervention	A Patient Navigator will provide social support, literacy appropriate education, and act as a conduit between the patient and the patient's medical team
BEHAVIORAL	Peer-led telephone support line	The peer-led telephone support line will provide social support, peer-to-peer coaching, and facilitate communication with the patient's medical care team.

Timeline

• Start date: 2014-07-01
• Primary completion: 2016-10-01
• Completion: 2016-10-01
• First posted: 2014-04-15
• Last updated: 2019-02-15
• Results posted: 2019-02-15

Locations

1 site across 1 country: United States