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Transitional Care Model Evaluation 2020
Sponsor: Mathematica Policy Research, Inc.
Summary
The study is a randomized controlled trial to estimate the effects of the transitional care model (TCM) on hospital admissions and patients' experience during the year following the patient's qualifying discharge. The University of Pennsylvania, where TCM was developed, will be the coordinating center for the implementation. The study will be conducted in three large health systems spread throughout the U.S., drawing patients from seven hospitals in those systems. Eligible patients are older adults (age 65 and older) admitted to a participating hospital with symptoms of heart failure (HF), chronic obstructive pulmonary disease (COPD), or pneumonia (PNA). The evaluation will be conducted by Mathematica.
Official title: Evaluation of the Multisite Replication of the Transitional Care Model
Key Details
Gender
All
Age Range
65 Years - Any
Study Type
INTERVENTIONAL
Enrollment
962
Start Date
2020-07-07
Completion Date
2026-12
Last Updated
2026-07-08
Healthy Volunteers
No
Interventions
Transitional care model (TCM)
Patient education about post-discharge self-care and medications, arrangement of needed social services, coordination of information from medical providers interacting with patient
Usual care
usual hospital discharge and post-discharge care
Locations (1)
Mathematica Policy Research
Princeton, New Jersey, United States