Alzheimer Disease or Associated Disorder
Conditions
Keywords
case management, emergency department, feasibility
Brief summary
The goal of this observational study is to learn the feasibility, acceptability, appropriateness, and adherence to a case management intervention. PartnerED is a case management intervention that aims to reduce unnecessary hospital admissions by providing real-time, structured information and discharge support to emergency department providers via phone and fax. The intervention is led by chronic care managers employed by Bluestone Accountable Care Organization, a physician group primarily serving patients in assisted living centers.
Detailed description
PartnerED is a case management intervention that aims to reduce unnecessary hospital admissions by providing real-time, structured information and discharge support to emergency department providers via phone and fax. The intervention is led by chronic care managers employed by Bluestone Accountable Care Organization, a physician group primarily serving patients in assisted living centers.
Interventions
BEHAVIORALStructured case management
When a Bluestone Accountable Care Organization registers in an emergency department, a Bluestone chronic care manager contacts emergency department clinicians by phone and fax to provide up-to-date clinical and discharge support information.
Sponsors
Brown University
National Institute on Aging (NIA)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Bluestone Accountable Care Organization patient * Registration in emergency department between November 1, 2023 and June 30, 2024, as recorded in electronic admission, discharge, and transfer notifications
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent of Eligible Emergency Department Visits With Completed Outreach | Within 1-3 hours of emergency department registration | Percent of eligible emergency department visits in which a case manager provided structured clinical and discharge support information to a emergency department provider about a patient who was in their care, with the goal of avoiding an unnecessary hospitalization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent of Successful Outreach Conversations in Which Staff Reported Avoidance of an Unnecessary Hospitalization | Within 24 hours of emergency department registration | Case manager self-report of whether she/he was successful in avoiding an unnecessary hospitalization of a patient after providing structured clinical and discharge support information to the emergency department provider |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATOREllen McCreedy, PhD, MPH
Brown University
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 81.9 years STANDARD_DEVIATION 12.4 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 19 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 1214 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 143 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 5 Participants |
| Race (NIH/OMB) Asian | 11 Participants |
| Race (NIH/OMB) Black or African American | 23 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 126 Participants |
| Race (NIH/OMB) White | 1210 Participants |
| Region of Enrollment United States | 1376 Participants |
| Sex: Female, Male Female | 921 Participants |
| Sex: Female, Male Male | 455 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 3 / 1,376 |
| other Total, other adverse events | 0 / 1,376 |
| serious Total, serious adverse events | 0 / 1,376 |
Outcome results
None listed