A Study of the Effect of a Nurse Navigator Program on High Risk Patients

N/ANot Yet RecruitingNCT05592847

Mayo Clinic300 enrolled

Overview

The purpose of this study is to examine if educational intervention in high risk patients can lead to decreased hospital readmissions when compared to patients who are not in the intervention program. Additionally, to determine patient satisfaction with the educational program.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

300

Conditions

Patient Readmission Arthroplasty, Replacement, Knee Arthroplasty, Replacement, Hip Heart Failure Pulmonary Disease, Chronic Obstructive

Interventions

Nurse Navigator ProgramOTHER

Identification of specific chronic conditions and suggestion of management care of primary care physicians and referrals to specialists via nurse navigator team members.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: \- Require total or partial hip or knee replacement and have one or more of the following diagnosis: Heart Failure (HF); Chronic obstructive pulmonary disease (COPD); Dialysis; Alcohol Abuse; Low BMI. Exclusion Criteria: \- Decrease cognitive capacity to consent to the study.

A Study of the Effect of a Nurse Navigator Program on High Risk Patients

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes