Transitional Care Model Evaluation 2020

NAUnknownINTERVENTIONAL
Enrollment

962

Participants

Timeline

Start Date

July 7, 2020

Primary Completion Date

July 31, 2024

Study Completion Date

February 28, 2025

Conditions
CHF - Congestive Heart FailureCOPDPneumonia
Interventions
BEHAVIORAL

Transitional care model (TCM)

Patient education about post-discharge self-care and medications, arrangement of needed social services, coordination of information from medical providers interacting with patient

BEHAVIORAL

Usual care

usual hospital discharge and post-discharge care

Trial Locations (1)

08540

Mathematica Policy Research, Princeton

Sponsors

Collaborators (1)

All Listed Sponsors
collaborator

University of Pennsylvania

OTHER

collaborator

Arnold Ventures

UNKNOWN

collaborator

Veterans Health Administration--St. Louis and Cleveland

UNKNOWN

collaborator

Trinity Health System

INDUSTRY

collaborator

Providence St. Joseph Health-Swedish Health Services (Swedish)

UNKNOWN

collaborator

University of California, San Francisco

OTHER

lead

Mathematica Policy Research, Inc.

OTHER

NCT04212962 - Transitional Care Model Evaluation 2020 | Biotech Hunter | Biotech Hunter