Actively Recruiting
Skilled Nursing Facility at Home Trial
Led by University of Massachusetts, Worcester · Updated on 2026-03-11
650
Participants Needed
2
Research Sites
139 weeks
Total Duration
On this page
Sponsors
U
University of Massachusetts, Worcester
Lead Sponsor
B
Baystate Health
Collaborating Sponsor
AI-Summary
What this Trial Is About
Skilled Nursing Facility at Home is a multicenter randomized control trial that aims to evaluate a home-based model of providing post-acute care (PAC). We will enroll 650 hospitalized patients who require rehabilitation and/or skilled-nursing support upon discharge and randomly assign them to an intervention (home-based PAC) or control arm (facility-based PAC). Our design includes two different health systems in Massachusetts: Baystate Health and UMass Memorial Health. We will perform 1:1 randomization between the intervention and control arm using a permuted block design, with stratification by clinical site and payor group. The primary outcome of the trial will be the difference in hospital readmission and mortality rates from the time of enrollment to 30 days after enrollment. Secondary clinical, functional, and cost outcomes include length of stay in PAC, difference in health-related quality of life (HRQoL), and healthcare cost and utilization.
CONDITIONS
Official Title
Skilled Nursing Facility at Home Trial
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 or older
- Admitted to an inpatient unit OR receiving home health and requiring an escalation to skilled-nursing facility care
- Require post-acute care in a skilled nursing facility based on the clinical inpatient team's assessment or home health team's assessment
- Pass the home readiness assessment
- Reside within Greater Worcester or Greater Springfield
You will not qualify if you...
- Inability to return to a home residence where care can be provided
- Inability for patient or their proxy to provide informed consent for the study
- Requires long-term care
- Requires palliative or hospice care
- On active chemotherapy
- Post-transplant surgery
- Requires hemodialysis
- Requires radiation therapy
- Requires two-person assist or mechanical lift
- Expresses unwillingness to be randomized to skilled nursing facility or home care
- Considered clinically inappropriate by skilled nursing facility at home clinical team
AI-Screening
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Trial Site Locations
Total: 2 locations
1
Baystate Medical Center
Springfield, Massachusetts, United States, 01199
Actively Recruiting
2
UMass Memorial Medical Center
Worcester, Massachusetts, United States, 02446
Actively Recruiting
Research Team
S
Study Team
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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