NCT04224220

Effectiveness of Nurse-based Care Coordination on Readmissions Among Primary Care Patients: a Stepped Wedge Cluster Randomized Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,947 (actual)
• Sponsor: Mayo Clinic · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This trial will evaluate the effectiveness of nurse-based care coordination and nurse-based remote patient monitoring on hospital readmissions among primary care patients.

Conditions

• Patient Activation

Interventions

Type	Name	Description
OTHER	Adult Medical Care Coordination	Nurse-based support that includes a home visit and follow-up coaching telephone calls to monitor patient status and ability to self-manage symptoms.
OTHER	Remote Patient Monitoring	Nurse-based support and coaching that incorporates the use of technology to monitor patient status and ability to self-manage symptoms.

Timeline

• Start date: 2020-01-01
• Primary completion: 2022-07-01
• Completion: 2023-01-01
• First posted: 2020-01-13
• Last updated: 2023-02-15

Locations

1 site across 1 country: United States