Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Implementing Interventions to Reduce Hospitalizations of Nursing Home Residents
Brief Summary: This project directly addresses the national imperative for innovative strategies to improve care for Medicare beneficiaries and reduce health care costs. The overall objective of the proposed project is to improve the care of older individuals who reside in nursing homes (NHs), and at the same time reduce unnecessary Medicare expenditures. This goal will be accomplished by testing a quality improvement program designed to reduce the number of avoidable hospitalizations of NH residents in a randomized controlled trial.

The primary hypotheses to be tested are:

Hypothesis1: Interventions to Reduce Acute Care Transfers (INTERACT) implementation NHs will have a greater reduction in hospitalization rate than the control and monitoring only NHs during the 12-month implementation compared to a 12-month baseline period.

Hypothesis 2: Reductions in Medicare expenditures for hospitalizations in the INTERACT implementation NHs will be greater than the estimated costs of implementing the intervention.

Hypothesis 3: The effects of INTERACT on hospitalization rates will be greater among patients on the Medicare skilled benefit for post-acute care, than for long-stay patients.

Hypothesis 4: The effects of INTERACT on hospitalization rates will be greatest among those NHs with higher vs. lower intensity (fidelity) of implementing the program.

Hypothesis 5: There will be a greater reduction in measures of hospitalizations for conditions defined as "potentially preventable" than for other transfers and hospitalizations.

Hypothesis 6: Implementation of INTERACT will not be associated with worsening of relevant quality measures in the participating NHs.


Options:
A: Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Telemedical support; Type: ACTIVE_COMPARATOR; Interventions: Other: Telemedical support | Intervention Type: OTHER; Name: Telemedical support; Assigned to Arm(s): Telemedical support
B: Arm Label: Immediate INTERACT implementation; Type: EXPERIMENTAL; Interventions: Other: INTERACT Quality improvement program | Arm Label: Delayed intervention with reporting; Type: ACTIVE_COMPARATOR; Interventions: Other: Quarterly surveys/data reporting | Arm Label: Delayed intervention not reporting; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: INTERACT Quality improvement program; Assigned to Arm(s): Immediate INTERACT implementation | Intervention Type: OTHER; Name: Quarterly surveys/data reporting; Assigned to Arm(s): Delayed intervention with reporting
C: Arm Label: Control Group; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Interventional Group; Type: EXPERIMENTAL; Interventions: Procedure: interprof ACT measures | Intervention Type: PROCEDURE; Name: interprof ACT measures; Assigned to Arm(s): Interventional Group
D: Arm Label: Intervention Group; Type: EXPERIMENTAL; Interventions: Behavioral: Teaching material, Behavioral: Pre-visit reflection tool, Behavioral: Dialogue tool, Behavioral: Educational session for GPs, Behavioral: Symptom assessment scale | Arm Label: Control Group; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Educational session for GPs, Behavioral: Symptom assessment scale | Intervention Type: BEHAVIORAL; Name: Teaching material; Assigned to Arm(s): Intervention Group | Intervention Type: BEHAVIORAL; Name: Pre-visit reflection tool; Assigned to Arm(s): Intervention Group | Intervention Type: BEHAVIORAL; Name: Dialogue tool; Assigned to Arm(s): Intervention Group | Intervention Type: BEHAVIORAL; Name: Educational session for GPs; Assigned to Arm(s): Control Group, Intervention Group | Intervention Type: BEHAVIORAL; Name: Symptom assessment scale; Assigned to Arm(s): Control Group, Intervention Group

Answer: B