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Care Transitions for Complex Patient - Cycle 1

2014-08-27 03:17:00 | BioPortfolio

Summary

The purpose of this study is to improve patient care while decreasing rates of hospital re-admissions and emergency department (ED) visits by sending specific information about hospital admissions and ED visits to care managers with the use of health information technology (HIT) shared across a community-based network of providers.

Description

This project seeks to improve outcomes, quality and coordination of care for Medicaid patients by facilitating the availability of information following two types of care transitions into the ambulatory care setting. Specific information regarding care transitions will be made available to care managers following hospitalizations and emergency department (ED) encounters.

This 6-month trial will be implemented within a regional Health Information Exchange (HIE) network created to connect providers serving 47,000 Medicaid beneficiaries across traditional institutional boundaries from both rural and urban settings in a 6-county region in the Northern Piedmont of North Carolina. This network includes 25 ambulatory care practices, 3 federally qualified health centers, 4 rural health clinics, 3 urgent care facilities, 11 government agencies, 6 hospitals and 2 multidisciplinary care management teams.

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Conditions

Asthma

Intervention

Email Notifications, Usual care

Location

Duke University Medical Center (Division of Clinical Informatics)
Durham
North Carolina
United States
27710

Status

Enrolling by invitation

Source

Duke University

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:17:00-0400

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