Implementation of the Hospital to Home (H2H) Heart Failure Initiative

V

VA Palo Alto Health Care System

Status

Completed

Conditions

Heart Failure

Treatments

Other: Usual Care
Other: Community of Practice Facilitation

Study type

Interventional

Funder types

Other U.S. Federal agency

Identifiers

NCT02148341
SDP-09-160

Details and patient eligibility

About

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.

Enrollment

122 estimated patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion and exclusion 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

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

122 participants in 2 patient groups

Community of Practice Facilitation
Experimental group
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.
Treatment:
Other: Community of Practice Facilitation
Usual Care
Experimental group
Description:
Medical centers in this arm will hear of H2H through usual routs (calls with facilty Directors and Chiefs of staff).
Treatment:
Other: Usual Care

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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