Back to resultsImplementation of the Hospital to Home (H2H) Heart Failure Initiative
Primary Purpose
Heart Failure
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Community of Practice Facilitation
Usual Care
Sponsored by
About this trial
This is an interventional health services research trial for Heart Failure
Eligibility Criteria
Inclusion Criteria:
- VA medical centers are the unit of randomization. A medical center will be included if had at least 20 patients discharged with a principal diagnosis of heart failure in 2008
Sites / Locations
- VA Palo Alto Health Care System
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Community of Practice Facilitation
Usual Care
Arm Description
Medical Centers assigned to this arm will recieive the communtiy of practice facilitation. In this process we will contact existing members of the community of practice (called the Heart Failure Network) at the facility as well as attempt to identify new providers and other staff at the facility with an interest in improving heart failure care. The facilitation includes: describing the national H2H program, providing talking points and strategies for local providers to obtain support from their local facility to initiate local projects related to H2H, providing a forum for successful sites to describe how they initiated projects to sites yet to initiate projects.
Medical centers in this arm will hear of H2H through usual routs (calls with facilty Directors and Chiefs of staff).
Outcomes
Primary Outcome Measures
H2H enrollment
H2H enrollment by the facility as determined by the H2H program of the American College of Cardiology and Institute for Healthcare Improvement
Secondary Outcome Measures
quality improvement programs initiated due to H2H
A new quality improvement initiated that addressess one of the 3 areas of H2H focus. These include, medication reconcilliation, early follow-up after discharge, and symptom recognition.
Full Information
NCT ID
NCT02148341
First Posted
February 12, 2013
Last Updated
May 27, 2014
Sponsor
VA Palo Alto Health Care System
1. Study Identification
Unique Protocol Identification Number
NCT02148341
Brief Title
Implementation of the Hospital to Home (H2H) Heart Failure Initiative
Official Title
Implementation of the Hospital to Home (H2H) Heart Failure Initiative
Study Type
Interventional
2. Study Status
Record Verification Date
February 2013
Overall Recruitment Status
Completed
Study Start Date
January 2010 (undefined)
Primary Completion Date
July 2013 (Actual)
Study Completion Date
July 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
VA Palo Alto Health Care System
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study determines if a community of practice of clinicians and quality improvement specialists can be used to implement a national quality initiative known as Hospital to Home (H2H). This quality initative is designed to reduced readmission rates for patients with heart failure or heart attack by improving the transition of care upon discharge.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Failure
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
122 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Community of Practice Facilitation
Arm Type
Experimental
Arm Description
Medical Centers assigned to this arm will recieive the communtiy of practice facilitation. In this process we will contact existing members of the community of practice (called the Heart Failure Network) at the facility as well as attempt to identify new providers and other staff at the facility with an interest in improving heart failure care. The facilitation includes: describing the national H2H program, providing talking points and strategies for local providers to obtain support from their local facility to initiate local projects related to H2H, providing a forum for successful sites to describe how they initiated projects to sites yet to initiate projects.
Arm Title
Usual Care
Arm Type
Experimental
Arm Description
Medical centers in this arm will hear of H2H through usual routs (calls with facilty Directors and Chiefs of staff).
Intervention Type
Other
Intervention Name(s)
Community of Practice Facilitation
Intervention Type
Other
Intervention Name(s)
Usual Care
Primary Outcome Measure Information:
Title
H2H enrollment
Description
H2H enrollment by the facility as determined by the H2H program of the American College of Cardiology and Institute for Healthcare Improvement
Time Frame
6 months
Secondary Outcome Measure Information:
Title
quality improvement programs initiated due to H2H
Description
A new quality improvement initiated that addressess one of the 3 areas of H2H focus. These include, medication reconcilliation, early follow-up after discharge, and symptom recognition.
Time Frame
6 months
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
VA medical centers are the unit of randomization. A medical center will be included if had at least 20 patients discharged with a principal diagnosis of heart failure in 2008
Facility Information:
Facility Name
VA Palo Alto Health Care System
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Implementation of the Hospital to Home (H2H) Heart Failure Initiative
We'll reach out to this number within 24 hrs