Children With Complex Chronic Conditions
Conditions
Brief summary
The purpose of this study is to determine the effectiveness of the GET2HOME Intervention bundle.
Interventions
Intervention bundle designed to improve discharge effectiveness
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with complex chronic disease based on a Pediatric Medical Complexity Algorithm (PMCA) score of 3 and their families and their primary care providers * Discharged from pediatric hospital medicine service at our hospital
Exclusion criteria
* Patients who live independently without a parent or guardian in the home, including those that live at skilled nursing facilities * Patients admitted for end of life care * Patients admitted for suicidal or homicidal ideation * Patients who previously enrolled in the study * Patients in county custody
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urgent healthcare reutilization | 30-days post-discharge | Yes/no to any: unplanned hospital readmission, ED revisit, or urgent care visit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Global Quality of Life Scale | 7-, 30-, 60-, and 90-days post-discharge | Quality of Life assessment for child, caregiver and family; minimum score 0, maximum score 100; higher score means a better outcome |
| Return to baseline | 7-, 30-, 60-, and 90-days post-discharge | Capturing the time it takes to return to a normal routine (family designed measure) |
Countries
United States