Support From Hospital to Home for Elders: A Randomized Controlled Study

Study Overview
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Brief Summary
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The investigators will randomize 700 non-psychiatric, non-obstetric, non-surgical patients aged 55 years and older at San Francisco General Hospital (SFGH) to usual care (ten days of prescription medication, discharge summary sent to primary care provider (PCP), and outpatient appt made for patient, and patient's nurse reviews discharge plan,) or usual care plus a peridischarge intervention (a visit with specialized in-hospital discharge nurse, development of personalized discharge plan, two phone calls from a nurse practitioner(NP)/physician assistant (PA) after discharge and availability of additional calls back from NP/PA, upon patient request, to help answer questions and assist patient's transition to outpatient care, and communication with primary care/subspecialty providers). The usual care and usual care plus intervention groups will be assessed for differences in mortality and rates of rehospitalization and emergency department use 30, 90 and 180 days following discharge from the hospital. The discharge process from the hospital to home is frequently marked by poor quality and high risk of adverse events and readmissions. It has been hypothesized that better coordinated care, personalized patient education, and follow-up calls to identify potential sources of adverse events, such as medical complications and medication errors can reduce rehospitalization and emergency room visits following discharge from the hospital. Although these interventions have been shown to reduce combined hospital readmissions and emergency department visits in English-speaking patients, none has focused on elderly patients in a diverse urban public hospital setting that includes non-English-speakers, who might benefit more than other populations from enhanced services during and after discharge from the hospital. Further, these labor-intensive interventions are costly to implement, and it is unknown whether opportunity cost of providing additional services in a limited-resource environment such as San Francisco General Hospital (SFGH) outweighs the unknown clinical benefits.

Official Title
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Support From Hospital to Home for Elders: A Randomized Controlled Study

Conditions
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Hospital Readmissions

Intervention / Treatment
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* Behavioral: SHHE Peridischarge Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients age 55 and older admitted to the general medicine, family medicine, cardiology, and neurology services at San Francisco General Hospital, able to communicate in either English, Spanish, Mandarin or Cantonese, attending physicians agree to the patient's participation. Patients must be able to demonstrate an understanding of the study's goals through a set of teach back questions included in the consent process. Exclusion Criteria: transferred from an outside hospital; admitted for a planned hospitalization (e.g. chemotherapy, a planned surgery) requiring hospice, nursing home, rehab or other institutional settings (i.e. expected by the physician team to be discharged to skilled nursing facilities) - those unable to independently consent (i.e. severely cognitively impaired, delirious, deaf, or involuntarily hospitalized because of severe mental illness) unable to understand English, Spanish or Cantonese (as reported by medical teams or unable to complete the consent teach-back process) less than age 55 aphasic otherwise excluded by the medical team participated in the pilot project of this intervention.

Ages Eligible for Study
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Minimum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SHHE Peridischarge intervention<br>Patients receive the Support from Hospital to Home (SHHE) Peridischarge Intervention plus usual care | Behavioral: SHHE Peridischarge Intervention<br>* Support from Hospital to Home (SHHE) Peridischarge Intervention patients will receive Usual care plus a visit with in-hospital registered nurse, who provides additional patient education, assesses patient's needs post-hospitalization, communicates with the medical team, and develops a personalized discharge plan; two phone calls from a nurse practitioner(NP)/physician assistant (PA) after discharge, in which adherence to medications, treatment plan, and access to outpatient care, and other issues identified during the hospitalization will be explored; the provision of a phone support line, on which an NP/PA will call patients back within 24 hours to answer questions and assist transition to outpatient care.<br>|
| No Intervention: Usual Care<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Combined Emergency Department Visits and Inpatient Readmissions |  | 30 days after discharge from hospital | 
| Combined Emergency Department Visits and Inpatient Readmissions |  | 90 days after discharge from hospital | 
| Combined Emergency Department Visits and Inpatient Readmissions |  | 180 days after discharge from hospital |