Status:

COMPLETED

Making Health Care Safer for Older Adults Receiving Skilled Home Health Care Services After Hospital Discharge

Lead Sponsor:

Johns Hopkins University

Collaborating Sponsors:

Agency for Healthcare Research and Quality (AHRQ)

Conditions:

Transitional Care

Frail Elderly

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

Care transitions are the movement of a person from one healthcare setting to another. Older adults who require skilled home health care ("home health") services (e.g., home-based nursing) after hospit...

Detailed Description

Using a participatory ergonomics process, the investigators will pilot a bundle of interventions developed by stakeholders in a prospective cohort study to test feasibility. The study settings and inc...

Eligibility Criteria

Inclusion

  • Older Adults
  • Aged ≥ 65 years
  • Can speak English or Spanish
  • Is capable of assent
  • Hospitalized on a medical or surgical service
  • Referred for skilled home healthcare services (home health) after hospital discharge or skilled nursing facility (SNF) discharge
  • Family Caregivers
  • Unpaid
  • Assist the older adult with at least one healthcare task. Healthcare tasks include the following activities: managing health care bills, scheduling medical appointments, getting to and from medical appointments, getting medical equipment, getting services, getting information, following a diet, obtaining medication, planning a medication schedule, taking medication, and deciding to stop or change medication.
  • Home Health Providers
  • Employed by participating sites
  • Directly provide care to, or arrange services for, an eligible older adult

Exclusion

  • Community referrals to home health: Older adults referred to home health from the ambulatory setting (e.g., outpatient clinic) and without a recent hospitalization or SNF stay.

Key Trial Info

Start Date :

April 7 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 31 2023

Estimated Enrollment :

761 Patients enrolled

Trial Details

Trial ID

NCT05182060

Start Date

April 7 2022

End Date

July 31 2023

Last Update

August 23 2023

Active Locations (1)

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Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine

Baltimore, Maryland, United States, 21224