Alcoholism, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Body Mass Index, Heart Failure, Patient Readmission, Pulmonary Disease, Chronic Obstructive, Renal Insufficiency
Conditions
Brief summary
The purpose of this study is to examine if educational intervention in high risk patients can lead to decreased hospital readmissions when compared to patients who are not in the intervention program. Additionally, to determine patient satisfaction with the educational program.
Interventions
OTHERNurse Navigator Program
Identification of specific chronic conditions and suggestion of management care of primary care physicians and referrals to specialists via nurse navigator team members.
Sponsors
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Require total or partial hip or knee replacement and have one or more of the following diagnosis: Heart Failure (HF); Chronic obstructive pulmonary disease (COPD); Dialysis; Alcohol Abuse; Low BMI.
Exclusion criteria
\- Decrease cognitive capacity to consent to the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Readmission rates | One year |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORGeorge Pujalte, MD
Mayo Clinic
Outcome results
None listed