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Improving Safety of Transitions to Skilled Nursing Care Using Videoconferencing (ECHO-CT)

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.
ClinicalTrials.gov Identifier: NCT03832257
Recruitment Status : Active, not recruiting
First Posted : February 6, 2019
Last Update Posted : December 16, 2022
Brown University
Hebrew SeniorLife
Information provided by (Responsible Party):
Lewis Lipsitz, Beth Israel Deaconess Medical Center

Brief Summary:
This prospective cohort study seeks to determine if the ECHO-CT program, a healthcare videoconferencing program, can improve clinical outcomes while reducing cost and resource utilization when expanded to a community hospital setting. Data will be analyzed on the facility level and patient level.

Condition or disease Intervention/treatment Phase
Acute Disease Other: ECHO CT Intervention Other: Matched Non-Participating Facilities Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 800 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities
Actual Study Start Date : September 30, 2018
Estimated Primary Completion Date : August 31, 2023
Estimated Study Completion Date : August 31, 2023

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: ECHO CT Intervention
Weekly video conference between hospitalist at Beth Israel and skilled nursing facilities.
Other: ECHO CT Intervention
weekly video conference between hospitalist and skilled nursing facilities

Matched Non- Participating Facilities
Matched non-participating facilities
Other: Matched Non-Participating Facilities
Matched Non-Participating Facilities

Primary Outcome Measures :
  1. 30-Day Readmission Rates [ Time Frame: 30-Days ]
    Number of hospital readmissions over 30 day period among participating SNF sites

Secondary Outcome Measures :
  1. Health Care Utilization [ Time Frame: up to 90 days ]
    Includes average length of stay in the facility

  2. Health Care Cost [ Time Frame: 30-days ]
    Total 30-day Medicare costs for fee-for-service patients.

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Facility Inclusion Criteria:

  • SNF receives approximately the middle third of referral volume (approx. 20-100 referrals/ average 40 per year)
  • SNF not so highly engaged with acute hospital that their patients are less likely to benefit from the intervention.
  • SNF affiliated with BIDMC Boston or BIDMC Needham

Facility Exclusion Criteria:

  • Has not recently participated in ECHO CT
  • Do not send anyone to ECHO CT training
  • Clinicians are unwilling to make a commitment to attend at least 75% of video conferences

Patient Selection:

ECHO-CT Group:

Inclusion Criteria: Patients that were discharged from BIDMC and admitted to skilled nursing facilities that are participating in ECHO-CT between April 2019 and March 2021.

Exclusion Criteria: Patients discharged from a hospital other than BIDMC. Patients admitted to a skilled nursing facility that is not participating in ECHO-CT.

Control Group:

Inclusion Criteria: Patients from skilled nursing facilities not participating in ECHO.

Exclusion Criteria: Patients discharged from BIDMC to one of our participating SNFs during the study period of April 2019- March 2021

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 ClinicalTrials.gov identifier (NCT number): NCT03832257

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United States, Massachusetts
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States, 02215
Sponsors and Collaborators
Beth Israel Deaconess Medical Center
Brown University
Hebrew SeniorLife

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Responsible Party: Lewis Lipsitz, Professor of Medicine, Beth Israel Deaconess Medical Center
ClinicalTrials.gov Identifier: NCT03832257    
Other Study ID Numbers: 2018P000457
First Posted: February 6, 2019    Key Record Dates
Last Update Posted: December 16, 2022
Last Verified: December 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Acute Disease
Disease Attributes
Pathologic Processes