Effect of a Quality Improvement Initiative to Address Social Determinants of Health on Rehospitalization Rates in Patients With Heart Failure

ConditionHeart Failure
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-99
SponsorSaint Luke's Health System

About this trial

The objective of this program is to improve post-acute care coordination for necessary social services for patients leaving the hospital after recovering from an episode of decompensated heart failure.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 18-99 years

Resident of Missouri or Kansas

Current inpatient admission for acute heart failure

Disqualifiers

Under 18 years or over 99 years of age

Trial design

Design model

Parallel

Treatments tested in this trial

  • Managed Services

    Other intervention

    coordination of care and assistance with community resources (food, transportation)

Treatment groups

320 Participants
are divided into 2 treatment groups
Group A: Standard Of Care - No Managed ServicesNo intervention 0 interventions
Group B: Managed Services After DischargeExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Reduction in all-cause re-hospitalization

reduction in all-cause re-hospitalization via improved post-acute care coordination

Time frame
2 years

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Saint Luke's Health System

Lead sponsor

Truman Medical Center

Collaborator

University of Missouri, Kansas City

Collaborator

Mid America Regional Council

Collaborator