Improving the Hospital-to-Home Transition Through Post-Discharge Virtual Visits in Primary Care

Weill Medical College of Cornell University25 enrolled

Overview

The purpose of this study is to test a new process for having a virtual visit with a primary care doctor after discharge from the hospital, instead of an in-person visit.

The goal of this project is to fully develop the protocol for identifying patients who would benefit from a virtual visit and develop the protocol for implementing the virtual visit. The value of this project is that the results will provide ample preliminary data for a future randomized controlled trial to determine the effectiveness of the intervention. This project will have an intervention group only. The hypothesis is that the intervention can be implemented in a way that is feasible and acceptable to providers and patients.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Telehealth

Interventions

TelehealthOTHER

Post-discharge virtual visit

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Medical inpatients, age \>=18, with an existing WCIMA attending as his or her PCP * Patients with disposition to home * Medically appropriate for a video visit (as determined by inpatient attending) * Patients or caregivers must be able to enroll in MyChart before discharge, must be capable of using the Weill Cornell Connect app to do a video visit at home using broadband access or the equivalent (must own a device compatible with the app, e.g. smartphone or tablet) * English speaking * Cognitively able to participate or Caregiver must be able to participate

Locations (1)

Weill Cornell Medicine

New York, New York, United States

Outcomes

Primary Outcomes

Proportion of patients meeting inclusion criteria over the study period out of all patients being discharged over the same time period

Time frame: 6 months post-intervention

Proportion of patients who consent to participate out of all those found to be eligible

Time frame: 6 months post-intervention

Proportion of patients who successfully schedule video visits out of all of those who consent

Time frame: 6 months post-intervention

Proportion of patients who successfully complete video visit out of all of those who scheduled

Time frame: 6 months post-intervention

Secondary Outcomes

Patient satisfaction with the video visit

Based on a previously validated instrument (Parmanto et. al, Int J Telerehab 2016 Spring; 8(1): 3-10). Measured through 5-point likert scale,free response, multiple choice, and yes/no questions.

Time frame: Within one month post-intervention

Physician satisfaction with the video visit

Measured through multiple choice, yes/no, and free-response (only asked if specific responses are received) questions.

Time frame: Within one month post-intervention

Number of in-person visits instead of or in addition to video visit

Time frame: 6 months post-intervention

Data from ClinicalTrials.gov

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