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Virtual Continuity and Its Impact on Complex Hospitalized Patients' Care

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01397253
First Posted: July 19, 2011
Last Update Posted: April 16, 2015
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.
Collaborator:
Agency for Healthcare Research and Quality (AHRQ)
Information provided by (Responsible Party):
University of Pittsburgh
Results First Submitted: March 12, 2015  
Study Type: Interventional
Study Design: Allocation: Non-Randomized;   Intervention Model: Parallel Assignment;   Masking: Single (Participant);   Primary Purpose: Health Services Research
Conditions: Automated Communication Tools
Complex Medical Patients
Intervention: Other: Automated communication tools

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
(Usual) MedTrak System of PCP Notification MedTrak, the information system used by the University of Pittsburgh Medical Center (UPMC), currently notifies PCPs when patients are admitted and discharged from the hospital.
Automated Communication Tools

An enhanced version of MedTrak (the present system of PCP notification). Electronic medical record links will be developed and used to allow automated communication with the PCP.

Automated communication tools will include:

  • PCP notification of patient admission and location
  • Data on medications begun on admission
  • Automated alerts on changes in patient status and location while the patient is hospitalized
  • Links to the EMR and to hospital physician contact information on all email alerts
  • Real-time delivery of discharge information (medications, instructions, and follow-up) to the PCP
  • Automatic reporting to PCPs of test results pending at discharge
  • Electronic delivery of final discharge summaries

Participant Flow:   Overall Study
    (Usual) MedTrak System of PCP Notification   Automated Communication Tools
STARTED   443   392 
COMPLETED   317 [1]   243 [1] 
NOT COMPLETED   126   149 
Reviewed by only 1 pharmacist                126                149 
[1] Primary analysis, remaining patients included in a sensitivity analysis



  Baseline Characteristics
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Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Hospitalized medical patients with ≥2 comorbidities and ≥5 chronic medications, at a single center

Reporting Groups
  Description
(Usual) MedTrak System of PCP Notification MedTrak, the information system used by the University of Pittsburgh Medical Center (UPMC), currently notifies PCPs when patients are admitted and discharged from the hospital.
Automated Communication Tools

An enhanced version of MedTrak (the present system of PCP notification). Electronic medical record links will be developed and used to allow automated communication with the PCP.

Automated communication tools will include:

  • PCP notification of patient admission and location
  • Data on medications begun on admission
  • Automated alerts on changes in patient status and location while the patient is hospitalized
  • Links to the EMR and to hospital physician contact information on all email alerts
  • Real-time delivery of discharge information (medications, instructions, and follow-up) to the PCP
  • Automatic reporting to PCPs of test results pending at discharge
  • Electronic delivery of final discharge summaries
Total Total of all reporting groups

Baseline Measures
   (Usual) MedTrak System of PCP Notification   Automated Communication Tools   Total 
Overall Participants Analyzed 
[Units: Participants]
 317   243   560 
Age 
[Units: Years]
Median (Inter-Quartile Range)
 63 
 (53 to 76) 
 63 
 (54 to 73) 
 63 
 (54 to 75) 
Gender 
[Units: Participants]
     
Female   178   150   328 
Male   139   93   232 
Ethnicity (NIH/OMB) 
[Units: Participants]
     
Hispanic or Latino   1   0   1 
Not Hispanic or Latino   316   242   558 
Unknown or Not Reported   0   1   1 
Race (NIH/OMB) 
[Units: Participants]
     
American Indian or Alaska Native   1   1   2 
Asian   3   4   7 
Native Hawaiian or Other Pacific Islander   0   0   0 
Black or African American   96   86   182 
White   216   151   367 
More than one race   1   0   1 
Unknown or Not Reported   0   1   1 
Region of Enrollment 
[Units: Participants]
     
United States   317   243   560 


  Outcome Measures

1.  Primary:   Medication Errors at Hospital Discharge   [ Time Frame: Approximately 1-30 days ]

2.  Secondary:   Patient PCP Visits, Emergency Room Visits and Rehospitalizations Within 30 Days Post-discharge.   [ Time Frame: Within 30 post-discharge from hospital ]
Results not yet reported.   Anticipated Reporting Date:   No text entered.  


  Serious Adverse Events


  Other Adverse Events


  Limitations and Caveats
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Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.


  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.


Results Point of Contact:  
Name/Title: Kenneth J Smith, MD, MS
Organization: University of Pittsburgh
phone: 4126474794
e-mail: smithkj2@upmc.edu


Publications:

Responsible Party: University of Pittsburgh
ClinicalTrials.gov Identifier: NCT01397253     History of Changes
Other Study ID Numbers: 3130920
First Submitted: July 15, 2011
First Posted: July 19, 2011
Results First Submitted: March 12, 2015
Results First Posted: March 25, 2015
Last Update Posted: April 16, 2015