Comparing Moderate and High Resource Strategies to Increase As-Needed Follow-Up After Bronchiolitis Hospitalization in Children Under 2 Years

What this Trial Is About

Researchers are studying children hospitalized with bronchiolitis to compare two different strategies aimed at improving follow-up care after hospital discharge. The study focuses on increasing the use of as-needed follow-up visits prescribed by hospital physicians and reducing unnecessary routine follow-up visits, which research has shown are often not needed. This trial evaluates how these strategies may impact care and family experience for young children recovering from bronchiolitis. The study compares a moderate-resource implementation strategy with a high-resource implementation strategy. The moderate approach includes educational outreach with materials for families, clinician performance reviews, and clinical decision support tools. The high-resource strategy adds small-group facilitation and expert coach-led support to the components of the moderate strategy. These strategies are designed to encourage appropriate follow-up care decisions by hospitalists. Participants are children diagnosed primarily with bronchiolitis, discharged from general inpatient care outside intensive or emergency settings. Researchers will measure how often as-needed follow-up is prescribed and sustained within seven days after hospital discharge. Families attendance at follow-up visits will be tracked to assess if unnecessary visits decrease. The study will monitor outcomes related to follow-up care practices and their impact through the hospital stay and shortly after discharge, with participation lasting through the immediate post-hospital period.

I-DECIDE After Bronchiolitis Hospitalization