Cardiovascular Diseases
Conditions
Keywords
Readmissions, Cardiovascular, Post-Discharge, Behavioral Health, Readmission Cost, 30 Day Readmission, Heart Failure, Care Management, Barriers to Care, Contextualizing Healthcare
Brief summary
This study will provide behavioral and mental health support to a select group of participants to supplement the hospital-provided discharge and recovery plans, based on clinical guidance and dedicated post-hospitalization behavioral protocols, with the goals of reducing readmission rates and costs.
Detailed description
This study was designed to provide support to a select group of participants by supplementing the hospital-provided discharge instructions. Laguna integrated clinical guidance and dedicated post-hospitalization Laguna recovery protocols, with the aims of improving health outcomes, reducing health costs, and reducing readmission rates within 30 days post-discharge. Participants in the intervention group received support from Laguna Health via phone, video, text, or web chat. Laguna provided contextual support to remove recovery barriers to these intervention participants.
Interventions
BEHAVIORALLaguna Coach Intervention Group
Behavioral and mental support was delivered through personal interactions with Laguna Coaches via phone, video, or web chat. Behavioral and mental support was individualized to best match each patient's needs and strengths. Support was provided to participants through human interactions over approximately 30 days.
Sponsors
Endeavor Health
Laguna Health, Inc
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Participants were assigned upon consent randomly to an intervention or control group. The intervention group received support from Laguna Coaches for 30 days, the control group did not receive any support from Laguna coaches.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Admitted to the hospital with a diagnosis of a cardiovascular disease * Discharged to home * Converse in English or Spanish * Uses a telephone
Exclusion criteria
* Participant unable to provide informed consent * Participant lacks cognitive ability to participate in the study interventions as judged by the primary attending physician
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Unplanned All Cause Readmission Rate | 30 Days Post-Discharge | Unplanned All-Cause 30 Day Readmission Rate |
| Unplanned Readmission Total Cost | 30 Days Post-Discharge | Billed facility charges for readmissions hospitalization stays |
Countries
United States
Outcome results
None listed