Status:
COMPLETED
Skilled Nursing Facility at Home: A Pilot
Lead Sponsor:
Brigham and Women's Hospital
Collaborating Sponsors:
Spire Health, Inc.
Reflexion Health, Inc.
Conditions:
Skilled Nursing Facilities
Rehabilitation
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
We seek to pilot a randomized controlled evaluation of skilled nursing facility care at home. We plan to enroll patients who would normally be sent to a skilled nursing facility following following ho...
Detailed Description
Post-acute care (PAC) encompasses the wide range of rehabilitative services used to restore a patient's maximal functional status following discharge from an acute hospitalization with the goal of res...
Eligibility Criteria
Inclusion
- \>=18 years old
- Requires skilled nursing facility care following hospitalization, as determined by inpatient team
- Lives within 10 miles of Brigham and Women's Hospital (BWH) or Brigham and Women's Faulkner Hospital (BWFH)
- Has capacity to consent
- Likely to return to community dwelling status
- Patient on medical service
- Pending low volume, we reserve ability to phase in patients on surgical services, including orthopedic trauma
Exclusion
- Social
- Undomiciled
- No working heat (October-April), no working air conditioning if forecast \> 80°F (June-September), or no running water
- In police custody
- Resides in facility that does not allow advanced on-site medical care
- Domestic violence screen positive
- Clinical
- Requires care of new ostomy or teaching ostomy care associated with complication
- Requires frequent suctioning, tracheostomy, and/or ventilator needs
- Requires significant durable medical equipment not already in place at home (e.g., Hoyer lift)
- Home unable to accommodate patient in current state as determined by the SNF-at-Home Checklist for Home
- Acute delirium
- End stage renal disease on hemodialysis
- On methadone requiring daily pickup of medication
- Requires administration of intravenous controlled substances
- Requires administration of specialty medications not already in place at home
- Requires transfusion of blood products
- Requires multiple transfers back and forth to hospital for specialty medical care
- Home SNF census is full
Key Trial Info
Start Date :
August 5 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 19 2019
Estimated Enrollment :
10 Patients enrolled
Trial Details
Trial ID
NCT04048590
Start Date
August 5 2019
End Date
December 19 2019
Last Update
December 23 2019
Active Locations (2)
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1
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02115
2
Brigham and Women's Faulkner Hospital
Boston, Massachusetts, United States, 02130