N/A N=800 Health Care Hotspotting: A Randomized Controlled Trial
High Utilizers of Hospital Care
Primary: Any Hospital Readmission — 240; 245 Participants
Clinical Trial Search
Completed trials with posted results — search by concept, filter by the parameters that matter at the bedside.
N/A N=1,400 Integrated Care (IC) Models for Patient-Centered Outcomes
Diabetes · Asthma · Chronic Obstructive Pulmonary Disease
Primary: Patient Activation — 61.87; 63.73; 63.82; 63.15 score on a scale — p=0.0211
N/A N=4,832 An Evaluation of Post Discharge Utilization Among Patients With an Acute Exacerbation of COPD
Chronic Obstructive Pulmonary Disease
Primary: Healthcare Utilization — 1080; 920 Participants — p=0.041
N/A N=263 Home Based Care Transitions Tailored by Cognition and Patient Activation
Chronic Disease
Primary: Health Care Utilization — 7; 8; 4; 3 events
N/A N=1,101 An Emergency Department-To-Home Intervention to Improve Quality of Life and Reduce Hospital Use
ED Patients With Chronic Medical Illnesses
Primary: Change in Physical Function Between Baseline and 60 Days Post-ED Visit — -1.47; -0.83 T-score — p=0.49
N/A N=180 A Comprehensive Care Programme for Patients With Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease
Primary: Hospital Readmission — 1.12; 1.7 hospital readmissions
N/A N=1,979 Paramedic Coached ED Care Transitions to Help Older Adults Maintain Their Health
Emergencies · Aging
Primary: Number of Participants Returning to the ED Within 30 Days of the Original ED Visit — 84; 69; 51; 113 Participants
Phase 3 N=835 Virtual Continuity and Its Impact on Complex Hospitalized Patients' Care
Automated Communication Tools · Complex Medical Patients
Primary: Medication Errors at Hospital Discharge — 645; 359 Errors
N/A N=97 Specialized Community Disease Management to Reduce Substance Use and Hospital Readmissions
Drug Use · Alcohol Use · Congestive Heart Failure
Primary: Change in Substance Use Rates From Baseline — 51.37; 51.38; 35.53; 26.65 Days of Substance Use
N/A N=144 Underutilization of Hospice in Older African Americans
Hospice Decision Making
Primary: Hospice Knowledge Scale — 17; 17 units on a scale
N/A N=194 Short Stay Unit vs Hospitalization in Acute Heart Failure
Acute Heart Failure
Primary: Days Alive and Out of Hospital — 26.9; 25.4 Days Alive and Out of Hospital
N/A N=134 Records for Alcohol Care Enhancement
Alcohol Use Disorder (AUD)
Primary: Percent of New Alcohol Use Disorder (AUD) Diagnosis Episodes That Meet Criteria for AUD Treatment Engagement Among Patients With a New AUD Diagnosis Who Are Empaneled to…
N/A N=511 IVR-Enhanced Care Transition Support for Complex Patients
Congestive Heart Failure · Chronic Obstructive Pulmonary Disease
Primary: Re-hospitalizations — 27; 26; 8; 14 participants
N/A N=331 Improving Care for Children With Complex Needs
Medically Complex Children · Care Coordination · Case Manager
Primary: Cost of Care — 71692; 70618; 37,677; 56702 US Dollars
N/A N=127 Rural Options At Discharge Model of Active Planning
All Causes Hospital Admissions
Primary: Hospital Re-admissions Analyzed by Poisson Regression — 17; 4; 21; 5 Hospital Readmission — p=0.030
N/A N=465 Improving Transitional Care Experiences in Mental Health
Standard Treatment Versus Engagement Focused Treatment
Primary: Subjective Quality of Life — 3.9; 3.8; 4.3; 4.0 units on a scale
N/A N=1,915 Improving Patient Prioritization During Hospital-homecare Transition
Diabetes Mellitus, Type 2 · Congestive Heart Failure · Obstructive Pulmonary Disease
Primary: Number of Rehospitalizations Within 60 Days After Hospital Discharge — 807 rehospitalizations
N/A N=1,509 Automated Hovering to Improve Medication Adherence Among Myocardial Infarction Patients (Heartstrong)
Patients With Principal or Secondary Diagnosis Code of Intrntl Classification of Diseases, 9th Revision, (ICD-9-CM) 410 (Except When 5th Digit Was 2)
Primary: 1 -Year Survival Probability Rate: Vascular Readmissions or Death — .91; .91 proportion of participants
N/A N=157 Managing Type 1 and High Risk Type 2 Diabetes in the Hospital Setting: Glucose as a Vital Sign
Diabetes Mellitus, Type 1 · Diabetes Mellitus, Type 2
Primary: Type 2 Diabetes Blood Glucose Time in Range (70-180 mg/dL) — 25.31; 19.89; 26.04 percentage of time during CGM use — p=0.1460
N/A N=1,357 Comparative Effectiveness of Post-Discharge Strategies for Hospitalized Smokers
Cigarette Smoking · Tobacco Smoking · Tobacco Use Disorder
Primary: Tobacco Abstinence - 6 Month Follow-up — 105; 113 Participants — p=>0.05
N/A N=264 Patient Priority Care for Older Adults With Multiple Chronic Conditions
Multiple Chronic Conditions
Primary: Treatment Burden — 11.9; 11.6; 12.7; 17.9 score on a scale
N/A N=1,029 PATient Navigator to rEduce Readmissions
Chronic Obstructive Pulmonary Disease · Heart Failure · Sickle Cell Disease
Primary: PROMIS Emotional Distress-Anxiety (v1.0, SF4a) — -0.2; -1.7 T-score
N/A N=796 Regional Data Exchange to Improve Care for Veterans After Non-VA Hospitalization
Patient Readmission · Adverse Drug Event · Cost
Primary: Number of Participants With Hospital Readmission — 23; 21; 35 Participants
N/A N=104 Telehealth Management in HF Disparity Patients
Chronic Heart Failure
Primary: Hospitalizations — .55; .78 participant mean hospitalizations/90 day
N/A N=168,477 Consumer Health IT Tools: Impact on Experience, Access, and Outcomes for Patients With Complex Chronic Conditions
Chronic Disease · Patient Outcome Assessment · Electronic Health Records
Primary: Number of Ambulatory Care Sensitive Conditions (ACSC) Hospitalizations. Portal Users vs Those Who Are Not Portal Users — 6.2; 7.0 hospitalizations/1000 participants/month
N/A N=360 Bridging the Gap From Postpartum to Primary Care
Hypertension · Hypertension in Pregnancy · Diabetes Mellitus
Primary: Rate of Primary Care Provider Visit Attendance — 38; 72 Participants — p=<0.001
N/A N=164 Effectiveness and Clinical Outcomes of Municipal Acute Wards Versus a General Hospital
Patient Experience · Medical Emergencies · Mortality
Primary: Patient Experiences, NORPEQ — 78.7; 80.9 units on a scale
N/A N=235 Barriers to Screening Breast MRI Utilization Among Patients at Elevated Risk
Breast Cancer
Primary: Reporting Receipt of MRI Breast Screening at Any Time — 32.34 percentage of participants
N/A N=631 Value of Technology to Transfer Discharge Information
Information Dissemination · Interprofessional Relations
Primary: Hospital Readmission, at Least One — 117; 119; 199; 196 participants
N/A N=1,500 Hospital to Home Outcomes
Focus: Hospitalized Patients
Primary: Number of Participants With Any Occurrence of Unplanned Re-hospitalization and/or Any Emergency/Urgent Care Visits Within 30 Days of Hospital Discharge — 133; 105…