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The Impact of Just-in-time Information on Neonatal Intensive Care Unit (NICU) Discharges

This study has been completed.
Agency for Healthcare Research and Quality (AHRQ)
Information provided by (Responsible Party):
Virginia Moyer, Baylor College of Medicine Identifier:
First received: March 18, 2010
Last updated: July 24, 2015
Last verified: July 2015
We, the investigators, will provide "Just-in-Time" information, physician educational material, to primary care pediatricians of Neonatal Intensive Care Unit (NICU) graduates at the time of NICU discharge. We will follow the rate of adverse events (deaths, re-hospitalizations, emergency room visits, and missed appointments) for 6 months after NICU discharge. We will assess levels of physician comfort in caring for NICU specific diseases, as well as physician satisfaction with the discharge process. We hypothesize that the provision of "Just-in-Time" information will decrease the rate of adverse events, and make physicians more comfortable in caring for complicated NICU graduates, and more satisfied with the discharge process.

Condition Intervention
Patient Discharge
Behavioral: Just-in-Time information

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: The Impact of "Just-in-time" Information on NICU Discharges

Further study details as provided by Virginia Moyer, Baylor College of Medicine:

Primary Outcome Measures:
  • Adverse events [ Time Frame: 6 months from hospital discharge ]
    The rates of death, rehospitalization, emergency room visits, and missed appointments will be calculated for infants in the first 6 months after discharge from the NICU.

Secondary Outcome Measures:
  • Physician comfort levels [ Time Frame: 1 year ]
    Physicians will complete pre- and post- intervention surveys that consist of 5-point Likert scales that measure comfort levels with various disorders specific to former premature infants.

Enrollment: 229
Study Start Date: March 2010
Study Completion Date: June 2011
Primary Completion Date: June 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Just-in-Time intervention
The infants and physicians in the experimental group will receive the "Just-in-Time" intervention sheets at the time of discharge.
Behavioral: Just-in-Time information
Infants and physicians assigned to the intervention group will receive Just-in-Time information at the time of NICU discharge, by email and facsimile, and the parents will receive a copy to bring to their first clinic appointment.
No Intervention: Routine discharge care
The infants and physicians in the routine discharge care arm will receive the same information and details as is per normal routine in the nursery.

Detailed Description:
The purpose of this protocol is to evaluate the impact of providing "Just-in-Time" information, or physician educational material at the time of discharge, to primary care pediatricians caring for Neonatal Intensive Care Unit (NICU) graduates. The material provided will be tailored to the needs of each infant. The educational material will be sent to the physicians via email and facsimile on the day of discharge, and a hard copy will be sent with the parents to bring to their first clinic appointment. Outcomes, including emergency room visits, hospital readmissions, deaths, missed appointments, and improvements in care in the areas of intervention will be assessed. Levels of physician comfort in caring for various disorders specific to NICU graduates will be assessed, and satisfaction with the discharge process will also be evaluated pre- and post- intervention.

Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Pediatric care providers will be identified when they accept into their practices babies who are part of a related study of an enhanced discharge process in the Texas Children's Hospital (TCH) NICU ( Identifier: NCT01088945)
  • Participating providers must be part of Texas Children's Pediatrics Associates (TCPA), or accept Texas Children's Health Plan (TCHP) insurance.

Exclusion Criteria:

  • Providers who are not part of Texas Children's Pediatrics Associates (TCPA), or do not accept Texas Children's Health Plan (TCHP) insurance.
  Contacts and Locations
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Please refer to this study by its identifier: NCT01091688

United States, Texas
Newborn Center, Texas Children's Hospital
Houston, Texas, United States, 77030
Sponsors and Collaborators
Virginia Moyer
Agency for Healthcare Research and Quality (AHRQ)
Principal Investigator: Virginia A Moyer, MD, MPH Baylor College of Medicine
  More Information

Responsible Party: Virginia Moyer, Professor of Pediatrics (Adjunct), Baylor College of Medicine Identifier: NCT01091688     History of Changes
Other Study ID Numbers: H-25701
Study First Received: March 18, 2010
Last Updated: July 24, 2015

Keywords provided by Virginia Moyer, Baylor College of Medicine:
discharge planning
health transition
educational needs assessment
Intensive care, neonatal processed this record on May 25, 2017