At a glance
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An Emergency Department-To-Home Intervention to Improve Quality of Life and Reduce Hospital Use
In Brief
A clinical study evaluating ED-to-home care transition intervention and Usual Care for ED Patients With Chronic Medical Illnesses. Completed, enrolled 1,101 participants across 2 sites.
Detailed Summary
The purpose of this study is to determine if assigning older, chronically ill patients a healthcare coach after they leave the Emergency Department (ED) improves their quality of life and reduces the need for hospital-based care.
Study Details
Timeline
Interventions
The Area Agency on Aging coach's role is to build self-management capabilities for the patient and their caregiver. During each contact, the coach reviews the four components of the Care Transition Intervention: 1: Follow-up Medical Visit. 2: Knowledge of Red Flag Symptoms. 3: Medication Reconciliation. 4: The Personal Health Record (PHR). The coach assists patients use the PHR to document and maintain vital information and to communicate with providers.
Patients randomized to usual care will receive verbal and written discharge instructions from the treating ED physician and nurse as is the standard of care.