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

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.

Study Overview

• Status: Suspended
• Conditions: Telehealth
• Intervention / Treatment: Other: Telehealth

Detailed Description

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
• Enrollment (Anticipated): 25
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • New York
    • New York, New York, United States, 10065
      • Weill Cornell Medicine

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: OTHER
• Allocation: NA
• Interventional Model: SINGLE_GROUP
• Masking: NONE

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Telehealth; Eligible patients will be given the option to consent to having one virtual visit with their primary care physician within four weeks after discharge from the hospital. Usual follow-up care will occur during this visit.	Other: Telehealth; Post-discharge virtual visit; Other Names: Video Visits

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Proportion of patients meeting inclusion criteria over the study period out of all patients being discharged over the same time period	6 months post-intervention
Proportion of patients who consent to participate out of all those found to be eligible	6 months post-intervention
Proportion of patients who successfully schedule video visits out of all of those who consent	6 months post-intervention
Proportion of patients who successfully complete video visit out of all of those who scheduled	6 months post-intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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.	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.	Within one month post-intervention
Number of in-person visits instead of or in addition to video visit		6 months post-intervention

Collaborators and Investigators

• Sponsor: Weill Medical College of Cornell University
• Investigators: Principal Investigator: Sanjai Sinha, MD, Weill Medical College of Cornell University

Study record dates

Study Major Dates

• Study Start (ACTUAL): February 28, 2020
• Primary Completion (ANTICIPATED): December 1, 2021
• Study Completion (ANTICIPATED): December 1, 2021

Study Registration Dates

• First Submitted: January 17, 2020
• First Submitted That Met QC Criteria: January 17, 2020
• First Posted (ACTUAL): January 22, 2020

Study Record Updates

• Last Update Posted (ACTUAL): April 8, 2020
• Last Update Submitted That Met QC Criteria: April 6, 2020
• Last Verified: April 1, 2020

More Information

Terms related to this study

• Keywords: Telehealth; Virtual Visits; Video Visits
• Other Study ID Numbers: 19-09020793

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No