Chronic Disease, Geriatrics
Conditions
Brief summary
The overall aim of this study is to create a trans-disciplinary chronic disease continuity of care model with health information technology, utilizing mobile devices such as tablets, iPads and smartphones.
Detailed description
This study aims to explore if a trans-disciplinary chronic disease continuity of care model with integrated technology (mobile devices such as tablets, iPads and smartphones) to standard practice (patient-centered, coordinated care model without the integration of technology) will results in a reduction in 30-day readmission rate in adult patients.
Interventions
BEHAVIORALTacTic care model
Patients receive care in a trans-disciplinary chronic disease continuity of care model integrated with technology (mobile devices such as tablets, iPads and smartphones
BEHAVIORALStandard of care
Patients receive care in a patient-centered, coordinated care model without the integration of technology
Sponsors
Hackensack Meridian Health
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients on a 43 bed medical surgical unit * Adult patients on 44 bed geriatric unit
Exclusion criteria
* Adult patients admitted and not diagnosed with chronic disease * Patients who are transferred between Intervention and non-Intervention unit * Patients who refuse * Patients with delirium, dementia and altered mental status * Patients who cannot read and write in any language * Patients in the intervention group who cannot use mobile technology
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in the 30-day readmission rates in adult patients who receive care in a trans-disciplinary chronic disease continuity of care model integrated with technology (mobile devices such as tablets, iPads and smartphones). | 30 days |
Countries
United States
Outcome results
None listed