Remote Presence Timely Discharge Management

This study has been withdrawn prior to enrollment.
(No patients were enrolled)
Sponsor:
Information provided by (Responsible Party):
Hackensack University Medical Center
ClinicalTrials.gov Identifier:
NCT00364117
First received: August 11, 2006
Last updated: May 3, 2013
Last verified: May 2013
  Purpose

The purpose of this study is to integrate Remote Presence technology in order to increase the number of timely patient discharges before 11 am from the medical center.


Condition Intervention Phase
Patient Discharge
Behavioral: Timely Discharge (Remote Presence Technology)
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Remote Presence Timely Discharge Management

Further study details as provided by Hackensack University Medical Center:

Primary Outcome Measures:
  • Timely patient discharge before 11 am
  • Patient satisfaction
  • Employee satisfaction

Secondary Outcome Measures:
  • Employee satisfaction
  • Physician satisfaction
  • Financial impact on medical center

Enrollment: 0
Study Start Date: August 2006
Study Completion Date: August 2008
Estimated Primary Completion Date: August 2008 (Final data collection date for primary outcome measure)
Detailed Description:

Reduction in beds coupled with the increased need for health care services has led to a supply and demand struggle or capacity management challenge for health care facilities. This is now recognized as a major public health issue. The impact is readily seen as overcrowding in emergency departments. At present 76% of hospitals' emergency departments (ETDs) are at or over capacity with 33% reporting ambulance diversions, the most common sign of overcapacity within a health care facility. Compounding the physical capacity problem is the "human capacity strain" as admitted patients remain in the ETD for prolonged periods waiting for beds. Delayed admission to patient care units significantly strains the financial resources, impedes "patient flow" ultimately impacting the quality of care, patient satisfaction and the "bottom line." Discharge before 11 am optimizes the availability of hospital beds to meet admission demands thereby avoiding a surge over capacity or "patient back log", ambulance diversions in ETD; the post anesthesia recovery unit, admissions office and critical care units. Conversely competing needs for the attending physician's physical presence off of the hospital premises; off of the unit (private practice and meetings) often delays patient discharge from before 11 am to the afternoon and evening.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adult patients
  • Primary care physicians in internal medicine
  • Primary care physicians/practice group with established discharge pattern after 11 am
  • Primary care physicians/practice group with fast access digital subscriber line (DSL) 300 kilobytes per second
  • Primary care physicians/practice group who have Hackensack Medical Center (HUMC) intranet access from pre-determined location

Exclusion Criteria:

  • Non-English speaking patients
  • Patients requiring acute level of care on the day of discharge
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00364117

Locations
United States, New Jersey
Hackensack University Medical Center
Hackensack, New Jersey, United States, 07601
Sponsors and Collaborators
Hackensack University Medical Center
Investigators
Principal Investigator: Joseph Feldman, MD Hackensack University Medical Center
  More Information

No publications provided

Responsible Party: Hackensack University Medical Center
ClinicalTrials.gov Identifier: NCT00364117     History of Changes
Other Study ID Numbers: 06.01.052, Intouch Technologies Inc, Horizon Blue Cross Blue Shield
Study First Received: August 11, 2006
Last Updated: May 3, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Hackensack University Medical Center:
150 discharges
adults
Internal Medicine

ClinicalTrials.gov processed this record on April 23, 2014