JointCOACH is a web-based communication platform that enables joint replacement patients to communicate with their care team via computer or smartphone throughout their episode of care, from the time that surgery is scheduled until at least 90 days postoperatively.
Patients will receive the following information at key intervals: 1) instructions about how to prepare for surgery, 2) information about the procedure, 3) information about medications and pain control, 4) information about postoperative recovery and rehabilitation. In addition, several surveys will be distributed using JointCOACH to keep patients involved in their own recovery and to keep the surgical team informed of their progress. The proposed research will help determine if JointCOACH can improve patient satisfaction and clinical outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
446
Patients randomized to this group will utilize JointCOACH to communicate with their surgical team, receive information
Cleveland Clinic
Cleveland, Ohio, United States
Picker Patient Experience (PPE-15) Questionnaire
It is a 15-item patient experience questionnaire. Each response will be categorized as a problem or non-problem and reported as the percent of respondents reporting a problem, averaged across all PPE-15 domains.
Time frame: 30 and 90 days after index surgery
Visual Analog Scale (VAS) for Patient Satisfaction
It is a satisfaction measurement tool using a scale from 0-100, where 0 = completely dissatisfied and 100 = completely satisfied.
Time frame: 30 and 90 days after index surgery
Length of Hospital Stay
It is a count of the number of days the patient was admitted to the hospital after the index procedure prior to being discharged (measured in days)
Time frame: 90 days after index surgery
Discharge Disposition
Number of patient routinely discharged to home
Time frame: 90 days after index surgery
Number of Participants With Readmissions
It is a count of the number patients with hospital readmissions related to the index procedure within 30 and 90 days after the index procedure.
Time frame: 30 and 90 days after index surgery
Number of Participants With Reoperations
It is a count of the number of reoperations related to the index procedure within 30 and 90 days after the index procedure.
Time frame: 30 and 90 days after index surgery
Number of Subjects With Emergency Department Visits
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
It is a count of the number of subjects with emergency department visits related to the index procedure within 30 and 90 days after the index procedure.
Time frame: 30 and 90 days after index surgery
Number of Outpatient Follow-Up Visits
It is a count of the number of outpatient follow-up visits with the surgical team related to the index procedure within 30 and 90 days after the index procedure.
Time frame: 30 and 90 days after index surgery
Number of Telephone Calls
It is a count of the number of telephone calls with the surgical team related to the index procedure within 30 and 90 days after the index procedure.
Time frame: 30 and 90 days after index surgery
Provider Satisfaction Survey- JointCOACH Satisfaction
It is a 2 question survey regarding provider experience using JointCOACH measured using a 5-point Likert scale, where 1 = very dissatisfied and 5 = very satisfied.
Time frame: 90 days after the last patient enrolled has had surgery. approximately 22 months after the first patient enrolled. All study-related intervention is complete at this time.
Provider Satisfaction Survey- JointCOACH Recommendation
It is a 2 question survey regarding provider experience using JointCOACH measured using a 5-point Likert scale, where 1 = very dissatisfied and 5 = very satisfied.
Time frame: 90 days after the last patient enrolled has had surgery. All study-related intervention is complete at this time.