Remote Presence Timely Discharge Management

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00364117
Recruitment Status : Withdrawn (No patients were enrolled)
First Posted : August 15, 2006
Last Update Posted : May 7, 2013
Information provided by (Responsible Party):
Hackensack University Medical Center

Brief Summary:
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 or disease Intervention/treatment Phase
Patient Discharge Behavioral: Timely Discharge (Remote Presence Technology) Phase 2 Phase 3

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Remote Presence Timely Discharge Management
Study Start Date : August 2006
Estimated Primary Completion Date : August 2008
Actual Study Completion Date : August 2008

Primary Outcome Measures :
  1. Timely patient discharge before 11 am
  2. Patient satisfaction
  3. Employee satisfaction

Secondary Outcome Measures :
  1. Employee satisfaction
  2. Physician satisfaction
  3. Financial impact on medical center

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00364117

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

Responsible Party: Hackensack University Medical Center Identifier: NCT00364117     History of Changes
Other Study ID Numbers: 06.01.052
Intouch Technologies Inc
Horizon Blue Cross Blue Shield
First Posted: August 15, 2006    Key Record Dates
Last Update Posted: May 7, 2013
Last Verified: May 2013

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