Improving the Hospital-to-Home Transition Through Post-Discharge Virtual Visits in Primary Care

Study Overview
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Brief Summary
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The purpose of this study is to test a new process for having a virtual visit with a primary care doctor after discharge from the hospital, instead of an in-person visit.

Detailed Description
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The goal of this project is to fully develop the protocol for identifying patients who would benefit from a virtual visit and develop the protocol for implementing the virtual visit. The value of this project is that the results will provide ample preliminary data for a future randomized controlled trial to determine the effectiveness of the intervention. This project will have an intervention group only. The hypothesis is that the intervention can be implemented in a way that is feasible and acceptable to providers and patients.

Official Title
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Improving the Hospital-to-Home Transition Through Post-Discharge Virtual Visits in Primary Care

Conditions
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Telehealth

Intervention / Treatment
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* Other: Telehealth


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Medical inpatients, age >=18, with an existing WCIMA attending as his or her PCP Patients with disposition to home Medically appropriate for a video visit (as determined by inpatient attending) Patients or caregivers must be able to enroll in MyChart before discharge, must be capable of using the Weill Cornell Connect app to do a video visit at home using broadband access or the equivalent (must own a device compatible with the app, e.g. smartphone or tablet) English speaking Cognitively able to participate or Caregiver must be able to participate

Ages Eligible for Study
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Minimum Age: 18 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: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Telehealth<br>Eligible patients will be given the option to consent to having one virtual visit with their primary care physician within four weeks after discharge from the hospital. Usual follow-up care will occur during this visit. | Other: Telehealth<br>* Post-discharge virtual visit<br>* Other names: Video Visits;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of patients meeting inclusion criteria over the study period out of all patients being discharged over the same time period |  | 6 months post-intervention | 
| Proportion of patients who consent to participate out of all those found to be eligible |  | 6 months post-intervention | 
| Proportion of patients who successfully schedule video visits out of all of those who consent |  | 6 months post-intervention | 
| Proportion of patients who successfully complete video visit out of all of those who scheduled |  | 6 months post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction with the video visit | Based on a previously validated instrument (Parmanto et. al, Int J Telerehab 2016 Spring; 8(1): 3-10). Measured through 5-point likert scale,free response, multiple choice, and yes/no questions. | Within one month post-intervention | 
| Physician satisfaction with the video visit | Measured through multiple choice, yes/no, and free-response (only asked if specific responses are received) questions. | Within one month post-intervention | 
| Number of in-person visits instead of or in addition to video visit |  | 6 months post-intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Video Visits, Virtual Visits, Telehealth