Effects Of Income Supplements On 30-Day Readmissions For Vulnerable Older Adults

AltaMed Health Services Corporation8 enrolled

Overview

Unplanned 30-day hospital readmissions are an critical healthcare quality metric, with meaningful effects on patients and health systems operations. Interventions to reduce unplanned readmissions have primarily operated within a healthcare-centric frame, with enhancements to either pre- or post-discharge care planning, medication reconciliation, or visit frequency. Associations of 30-day readmission rates with poverty status and other social factors, however, suggest that attending to unmet social needs may yield added benefits to models focused on healthcare delivery. The purpose of the present trial is to provide evidence regarding the effects on 30-day readmissions of providing a one-time post-discharge income supplement to socially vulnerable older adults with medical complexity participating in an enhanced care coordination program.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Patient Readmission

Interventions

Eligibility

Sex: ALLMin age: 55 Years

Medical Language ↔ Plain English

Inclusion Criteria: * A participant in the underlying enhanced care planning program * aged 55 years or older * attending an outpatient clinic appointment as part of the underlying enhanced care planning program within 10 days of being discharged from an inpatient hospital stay * able to understand the study consent form (with interpretation services if needed) Exclusion Criteria: * The candidate is not discharged from the index admission to a community setting (e.g., they will be excluded if they are discharged to a skilled nursing facility) * The candidate has a legal guardian with control over financial decision-making * The candidate has been approached about the study during a previous encounter * The index hospitalization was a planned admission

Outcomes

Primary Outcomes

Unplanned 30-day readmission

Whether a participant has an unplanned readmission within 30 days of the index hospital discharge

Time frame: Within 30 days of the index hospital discharge

Secondary Outcomes

30-day post-discharge medical expenditures

Total medical expenditures in the 30 days after the index hospital discharge

Time frame: Within 30 days of the index hospital discharge

90-day post-discharge medical expenditures

Total medical expenditures in the 90 days after the index hospital discharge

Time frame: Within 90 days of the index hospital discharge

30-day post-discharge medical readmission OR emergency department visit

Whether a participant has an unplanned readmission OR emergency department visit within 30 days of the index hospital discharge

Time frame: Within 30 days of the index hospital discharge

90-day post-discharge medical readmission OR emergency department visit

Whether a participant has an unplanned readmission OR emergency department visit within 90 days of the index hospital discharge

Time frame: Within 90 days of the index hospital discharge

Unplanned 90-day readmission

Whether a participant has an unplanned readmission within 90 days of the index hospital discharge

Time frame: Within 90 days of the index hospital discharge

Effects Of Income Supplements On 30-Day Readmissions For Vulnerable Older Adults

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes