Clinical trial NCT04556786: A Pharmacist-led Transitions of Care Program
Official title: The Impact of a Pharmacist-Led Transitional Care Program on Health Outcomes of Uninsured Populations
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Disease
Keywords: Transitions of care
Indigent population
Hospital readmission rates
Lead sponsor: Auburn University
Sponsor class: OTHER
First posted: 2020-09-21
Enrollment: 88
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This study was to show the value of pharmacists in providing transitions of care to and improving health outcomes of uninsured populations. It also aimed to demonstrate the feasibility of implementing a transitions of care program in an indigent care clinic with limited resources. We hypothesized that a pharmacist-led transitions of care program will reduce 30-day hospital readmission rates among the uninsured discharged from a community hospital.


Eligibility criteria: Inclusion Criteria:

* Aged 18 years old or older
* Uninsured
* English speaking
* Discharged from East Alabama Medical Center within the past 16 days

Exclusion Criteria:

* Patients who did not show up for the first follow-up visit with the study pharmacist after being referred by the care coordinator at East Alabama Medical Center

Primary outcomes:
measure: 30-day hospital readmission
timeFrame: 30-day post-discharge
Secondary outcomes:
measure: 60-day hospital readmission
timeFrame: 60-day post-discharge
measure: 90-day hospital readmission
timeFrame: 90-day post-discharge
measure: 30-day emergency department (ED) visit
timeFrame: 30-day post-discharge
measure: 60-day emergency department (ED) visit
timeFrame: 60-day post-discharge
measure: 90-day emergency department (ED) visit
timeFrame: 90-day post-discharge
measure: 30-day follow-up visit with a primary care provider
timeFrame: 30-day post-discharge
Other outcomes:
Locations:
city: Auburn
country: United States
facility: Mercy Medical Clinic
state: Alabama
Study officials:
affiliation: Auburn University
name: Chiahung Chou, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Englander H, Kansagara D. Planning and designing the care transitions innovation (C-Train) for uninsured and Medicaid patients. J Hosp Med. 2012 Sep;7(7):524-9. doi: 10.1002/jhm.1926. Epub 2012 Mar 12.
citation: Hawes EM, Maxwell WD, White SF, Mangun J, Lin FC. Impact of an outpatient pharmacist intervention on medication discrepancies and health care resource utilization in posthospitalization care transitions. J Prim Care Community Health. 2014 Jan 1;5(1):14-8. doi: 10.1177/2150131913502489. Epub 2013 Sep 17.
citation: Crotty M, Rowett D, Spurling L, Giles LC, Phillips PA. Does the addition of a pharmacist transition coordinator improve evidence-based medication management and health outcomes in older adults moving from the hospital to a long-term care facility? Results of a randomized, controlled trial. Am J Geriatr Pharmacother. 2004 Dec;2(4):257-64. doi: 10.1016/j.amjopharm.2005.01.001.
citation: Phatak A, Prusi R, Ward B, Hansen LO, Williams MV, Vetter E, Chapman N, Postelnick M. Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). J Hosp Med. 2016 Jan;11(1):39-44. doi: 10.1002/jhm.2493. Epub 2015 Oct 5.