NCT03545698

Enhancing and Scaling a High-Touch Home-based Primary Care Program

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 56 (actual)
• Sponsor: Northwell Health · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

The overall goal of the West Health Institute-Northwell PRP is to identify a clinical and economic model that can support scaling the Northwell House Calls program within a four year implementation period, while maintaining the same level of quality, patient/caregiver satisfaction, and "high touch" provider-patient communication that the program is known for. The Clinical Trial portion of this study refers to the secondary endpoint listed below.

Detailed description

Primary Endpoint: Northwell's House Calls program will be effectively scaled to maintain a patient census of 2000 without compromising patient and caregiver satisfaction. Secondary Endpoint: The telehealth platform, Avizia, effectively improves communication of patient and caregiver needs to House Calls staff, and overall program satisfaction. In order to achieve the secondary endpoint, a telehealth platform will be implemented that will allow patients and their caregivers to teleconference with their care manager, who is either a nurse or a social worker, replacing a typical visit which is completed telephonically. Hypotheses to be tested through a home based telehealth intervention : * Maintain longitudinal non-inferiority of: in-person acute care home visits from a provider, in-person acute care home visits from a care manager, hospitalizations, ED visits, Community Paramedicine deployments, Community Paramedicine transports to hospital, the patient's acuity level, LACE Score, Charelson Co-Morbidity score and the total number of ADLs group compared to usual care group. * Telehealth acceptability * decrease caregiver stress * Improve program satisfaction * Improve staff satisfaction and engagement

Conditions

• Satisfaction, Consumer
• Caregiver Stress

Interventions

Type	Name	Description
OTHER	Avizia Telehealth Platform	Avizia will be utilized as a communication tool between home-based caregivers (family members, formal caregivers, or informal caregivers) and the House Calls care management team.

Timeline

• Start date: 2018-06-26
• Primary completion: 2019-02-15
• Completion: 2019-06-19
• First posted: 2018-06-04
• Last updated: 2019-07-29

Locations

1 site across 1 country: United States