6,024
Participants
Start Date
July 25, 2016
Primary Completion Date
July 25, 2018
Study Completion Date
March 15, 2020
COMPASS Intervention
"* A Post-Acute Coordinator (PAC) will visit each patient prior to discharge from the hospital.~* Patient will receive a follow-up telephone call two days after having been discharged.~* 7-14 days after discharge, the patient will attend post-acute stroke clinic visit and receive an assessment from an Advanced Practice Provider (APP), a brief patient-reported functional assessment to generate an individualized Care Plan, and referrals from an APP. The patient's primary caregiver will be assessed to ensure caregiver availability and ability to support the patient and the caregiver's ability to cope with the new challenges of caregiving.~* Patient will receive a call at 30 and 60 days post-discharge for follow-up of functional status, recovery, risk factor management and their access or utilization of recommended services."
Northern Hospital of Surry County, Mount Airy
Morehead Memorial Hospital, Eden
WFBH Lexington Medical Center, Lexington
UNC Hospital, Chapel Hill
UNC Rex Healthcare, Raleigh
Duke Raleigh Hospital, Raleigh
WakeMed Health and Hospital, Raleigh
Vidant Edgecombe Hospital, Tarboro
Washington County Hospital, Plymouth
CHS Stanly, Albemarle
CHS Northeast, Concord
Novant Health Huntersville, Huntersville
CHS Kings Mountain, Kings Mountain
CHS Lincoln, Lincolnton
Novant Health Matthews Medical Center, Matthews
CHS Union, Monroe
CHS Cleveland, Shelby
CHS Carolinas Medical Center, Charlotte
Novant Health Presbyterian Medical Center, Charlotte
CHS Carolinas Medical Center-Mercy, Charlotte
CHS University, Charlotte
Cape Fear Valley Medical Center, Fayetteville
Betsy Johnson Hospital, Dunn
Vidant Duplin Hospital, Kenansville
FirstHealth Moore Regional, Pinehurst
New Hanover Regional Medical Center, Wilmington
Lenoir Memorial Hospital, Kinston
Onslow Memorial Hospital, Jacksonville
Carteret County General Hospital, Morehead City
Frye Regional Medical Center, Hickory
Hugh Chatham Memorial Hospital, Elkin
Ashe Memorial Hospital, Jefferson
Caldwell Memorial Hospital, Lenoir
CHS Blue Ridge, Morganton
Wilkes Regional Medical Center, North Wilkesboro
Alleghany County Memorial Hospital, Sparta
Angel Medical Center, Franklin
Blue Ridge Regional Hospital, Spruce Pine
Pardee Health, Hendersonville
Mission Hospital, Asheville
Collaborators (1)
University of North Carolina, Chapel Hill
OTHER
Duke University
OTHER
East Carolina University
OTHER
Wake Forest University Health Sciences
OTHER