529
Participants
Start Date
October 31, 2015
Primary Completion Date
September 30, 2019
Study Completion Date
February 29, 2020
GUIDED-HF
"Participants in this arm will receive a tailored discharge plan via a transition nurse coordinator directed team (TNC Team).~1. Disease education: Health literacy screen will identify barriers to understanding discharge and medication instructions.~2. Lifestyle interventions: Includes receiving smoking cessation information and instructions to track daily weights.~3. Guideline recommendations for medications and device referral: Includes determining the need for prescriptions for ACEIs, ARBs, beta blockers, aldosterone antagonists, anticoagulants and referral for pacemaker/defibrillator consideration.~4. Outpatient follow-up appointment: TNC Team will provide a scheduled appointment within 7 days and will conduct a home visit within 48 hours of ED discharge."
Standard of Care
"Those in the standard care arm will receive structured ED discharge assessment to include:~1. discharge instructions;~2. medication reconciliation~3. encourage follow-up."
Stony Brook University, Stony Brook
Thomas Jefferson University, Philadelphia
Virginia Commonwealth University, Richmond
Emory University, Atlanta
VA Tennessee Valley Health System, Nashville
Vanderbilt University Medical Center, Nashville
University of Mississippi Medical Center, Jackson
MetroHealth, Cleveland
University of Cincinnati, Cincinnati
Indiana University, Indianapolis
Wayne State University, Detroit
University of Iowa, Iowa City
Washington University, St Louis
UT Southwestern Medical Center, Dallas
Baylor College of Medicine, Houston
Patient-Centered Outcomes Research Institute
OTHER
Stony Brook University
OTHER
Indiana University
OTHER
Wayne State University
OTHER
VA Office of Research and Development
FED
University of Cincinnati
OTHER
Washington University School of Medicine
OTHER
Baylor College of Medicine
OTHER
MetroHealth Medical Center
OTHER
University of Mississippi Medical Center
OTHER
Emory University
OTHER
University of Iowa
OTHER
Thomas Jefferson University
OTHER
University of Texas
OTHER
Virginia Commonwealth University
OTHER
Vanderbilt University
OTHER