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This study has been withdrawn prior to enrollment.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

August 11, 2006
May 3, 2013
August 2006
August 2008   (final data collection date for primary outcome measure)
  • Timely patient discharge before 11 am
  • Patient satisfaction
  • Employee satisfaction
  • Patient Discharge before 11 a.m.
  • Patient Satisfaction
Complete list of historical versions of study NCT00364117 on ClinicalTrials.gov Archive Site
  • Employee satisfaction
  • Physician satisfaction
  • Financial impact on medical center
Same as current
Not Provided
Not Provided
 
Remote Presence Timely Discharge Management
Remote Presence Timely Discharge Management

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.

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.

Interventional
Phase 2
Phase 3
Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Patient Discharge
Behavioral: Timely Discharge (Remote Presence Technology)
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Withdrawn
0
August 2008
August 2008   (final data collection date for primary outcome measure)

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
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00364117
06.01.052, Intouch Technologies Inc, Horizon Blue Cross Blue Shield
Not Provided
Hackensack University Medical Center
Hackensack University Medical Center
Not Provided
Principal Investigator: Joseph Feldman, MD Hackensack University Medical Center
Hackensack University Medical Center
May 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP