Early Screen for Discharge Planning in Community Hospitals

Mayo Clinic

Status: Completed

Conditions: Hospitalization

Treatments: Other: Early Screen for Discharge Planning

Study type: Observational

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT02117804

14-002495

Details and patient eligibility

About

The purpose of this study is to determine the predictive performance of the Early Screen for Discharge Planning (ESDP) tool in a regional community hospital. The central hypothesis is that the ESDP differentiates between patients in a regional community hospital who would benefit from those who would not benefit from early discharge-planning intervention as measured by problems and unmet continuing care needs, quality of life, length of stay, and referrals to post-acute services.

Full description

Patients who are hospitalized for medical or surgical reasons who consent to the study will be screened within 24 hours of hospital admission using the Early Screen for Discharge Planning (ESDP). The ESDP is a four-item screening tool used to determine on admission which patients are likely to have complex discharge plans and could benefit from early engagement of discharge planning personnel. The ESDP yields a total score, and those with a score of 10 or greater are considered to have a "high score" and likely to have a complex discharge plan. Those with a score of 9 or below have a "low score". The ESDP screen has been proven to be valid in large academic medical centers. This study will determine if the screen performs with the same validity in a small community hospital.

Enrollment: 225 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18 years or older
• Able to read and speak English
• Returning home in the community after discharge

Exclusion criteria

• Discharged to facility care
• Pregnant females

Trial design

225 participants in 2 patient groups

High ESDP Score

Description:

Patients with 10 or greater score on the Early Screen for Discharge Planning at the time of admission.

Treatment:

Other: Early Screen for Discharge Planning

Low ESDP Score

Description:

Patients with 9 or lower score on the Early Screen for Discharge Planning at the time of admission.

Treatment:

Other: Early Screen for Discharge Planning