Hospital Outcomes: Intervention in Moderately III Patients
|Moderately Ill Medical Inpatients at the Cornell Campus of the New York-Presbyterian Hospital||Behavioral: Early assessment and referral to ancillary care services vs. standard care|
|Study Design:||Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||Hospital Outcomes: Intervention in Moderately III Patients|
- To evaluate the utility of real time prognostic data and in the improvement of hospitalization morbidity, mortality, iatrogenic complications, and length of stay.
- To evaluate resource allocation and efficiency of ancillary service delivery in aggregate cost and 3 month follow up in regards to hospital readmission, living environment, and utilization of social services.
|Study Start Date:||September 1998|
|Estimated Study Completion Date:||April 1999|
To evaluate resource allocation and efficiency of ancillary service delivery in aggregate cost and 3 month follow up in regards to hospital readmission, living environment, and utilization of social services.
This is a randomized study which will compare the current Standard of Care in hospital to EARLY assessment and referrals with respect to social work services, rehabilitation, psychiatry, and nursing. In this study, the control group will receive the hospital support services provided under current system of delivery and allocation. The intervention group will not receive any new or different services not already provided to all patients at New York Presbyterian Hospital. The difference between the 2 groups will be the uniformity of screening to identify the needs of the patient in the respective area of social services, rehabilitation, psychiatric assistance, and nursing care, and the timeliness by which the referrals for support services will be placed.
Potential interventions: (In both control and experimental group)
- Social work: Discharge planning (homecare, visiting nursing services, skilled nursing facility placement).
- Rehabilitation: Physical Therapy (improve ADLs-activities of daily living).
- Psychiatry: Diagnosis and Assistance in management of Depression.
- Nursing: Prevention of in hospital falls and decubitus ulcer formation.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00256659
|United States, New York|
|New York Presbyterian Hospital- Weill Medical Center|
|New York, New York, United States, 10021|
|Principal Investigator:||Mary E Charlson, MD||Weill Medical College of Cornell University|
|Principal Investigator:||James Hollenberg, MD||Weill Medical College of Cornell University|
|Principal Investigator:||Mark Pecker, MD||Weill Medical College of Cornell University|
|Principal Investigator:||Sona Euster, MSW||Weill Medical Center of Cornell University|
|Principal Investigator:||Delia Gorga, PhD||Weill Medical Center of Cornell University|
|Principal Investigator:||Mary Cooper, MD||Weill Medical College of Cornell University|