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Enrolling by Invitation

NCT Number: NCT05952999

Analysis of the Virtual Acute Care at Home Experience

The purpose of this study is to examine the implementation, intervention effectiveness, and dissemination of a digital acute care delivery model for improving selected health outcomes in the Hospital at Home population.

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Key information

Conditions

Conditions Asthma Asthma, Chronic Obstructive Pulmonary Disease (COPD) Body Temperature Changes Bronchial Diseases Bronchitis Cardiovascular Diseases Chronic Disease Diabetes Diabetes Mellitus Disease Disease Attributes Endocrine System Diseases Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Fever Glucose Metabolism Disorders Heart Diseases Heart Failure Hypersensitivity Hypersensitivity, Immediate Hypertension Immune System Diseases Infections Lung Diseases Lung Diseases, Obstructive Male Urogenital Diseases Metabolic Diseases Nutritional and Metabolic Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Pulmonary Disease, Chronic Obstructive Renal and Urinary Disorders Respiratory Hypersensitivity Respiratory Tract Diseases Respiratory Tract Infections Signs and Symptoms Urogenital Diseases Urologic Diseases Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

OSF HealthCare

Peoria, Illinois, 61602, United States

About this study

The investigators will conduct a mixed-methods quasi-experimental research study that will explore the effectiveness of the Hospital at home programs using qualitative interviews and quantitative data as a means to also conduct a process evaluation related to the implementation and efficacy of Hospital at Home programs. The purpose of this pragmatic study is to inform scalability beyond the initial site for implementation within a large healthcare system with a diverse patient population located in various communities, including rural and urban locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients 18 years and older who are admitted into the Hospital at Home program after presenting to the emergency department or who are inpatients that can be cared at home for hospital level needs
  • Patients meeting the hospital's criteria for admission by diagnosis type (e.g., heart failure, respiratory infections and inflammations, renal failure, diabetes, pneumonia, bronchitis, chronic obstructive pulmonary disease, fever and inflammatory conditions, viral illnesses, other disorders of the nervous system). Diagnoses are determined by clinicians not researchers.
  • Patients will need to reside within 30 minutes' drive time from the hospital

Patient caregiver inclusion criteria: (not required for patient participation):

  • Age >= 18 years old
  • as capacity to consent to study

Clinician or stakeholder inclusion criteria:

  • Any member of the home hospital clinical team (a healthcare professional who providing care or equipment for use in the home) who will be participating in delivery of healthcare services,
  • Any member of the hospital care teams, including the screening and recruitment of patients for the home hospital intervention and/or providing care to patients that enroll in the intervention that is provided
  • Any member of the leadership team who are involved in the operational aspects of program delivery

Exclusion criteria

  • Need for long-term facility level care or current residence in a facility of this type
  • No one will be excluded on the basis of sex or race

Treatment and study plan

Digital Care Solution as supportive personalized care

Other

Patients will need to meet screening and inclusion criteria at time of enrollment. As a pragmatic study, researchers will not determine criteria or management of care aspects for patients.

Other names: Traditional Hospital Level Care

Traditional Hospital Level Care

Other

Patients will be cared for in the inpatient setting for management of diseases that meet screening and inclusion criteria at time of enrollment for hospital at home. As a pragmatic study, researchers will not determine criteria or management of care aspects for patients.

Primary outcomes

  1. Composite of all-cause mortality for patients admitted to digital hospital

    Time frame: Up to 30 days, (date of death from any cause, whichever came first, assessed up to 30 days)

    Total number of deaths over total number of patients admitted to the digital hospital.

  2. 30-day readmission rate

    Time frame: Up to 30 days (date of readmission from any cause, whichever came first, assessed up to 30 days)

    Number of 30-day readmissions as defined by Organization using preset criteria

  3. Patient Satisfaction at discharge

    Time frame: up to 1 week

    1-item measure: I would recommend this [insert program name] to others, assessed at discharge name] to others.

  4. Patient Perception of Digital Care at discharge

    Time frame: up to 1 week

    Results of Digital Care - Likert Scale (very satisfied to very dissatisfied)

Secondary outcomes

  1. Escalations (for management and treatment of early decompensation)

    Time frame: up to 2 weeks

    percentage of patients escalated over total hospital digital encounters

  2. Unplanned readmission within 30-days of discharge

    Time frame: up to 30 days

    Number of 30-day readmissions over total number of discharges

  3. Length of Stay

    Time frame: assessed up to 2 weeks

    Day of admission to day of discharge, assessed up to 2 months

  4. Number of participants with Hospital Acquired Infections

    Time frame: assessed up to 1 week

    Number of hospital acquired infections reported (CAUTI, CLABSI, etc.)

Other outcomes

  1. Number of participants with discharge disposition at time of discharge as one other than home

    Time frame: assessed up to 8 weeks

    Exploratory - discharge disposition other than patient's home

  2. Qualitative interviews

    Time frame: through study completion, an average of 2 years

    Interviews with patients, caregivers, and hospital and digital health clinicians, workers, ancillary services

  3. Number of readmissions between discharge and during next 6 months.

    Time frame: Up to 6 months (Re-admission from any cause, assessed up to 6 months)

    Exploratory

  4. Number of Emergency Department visits after discharge for any cause

    Time frame: assessed up to 6 months

    Exploratory

  5. Number of visits in home by provider, clinician, and worker type

    Time frame: assessed up to 2 months

    Exploratory

  6. EuroQol-5D-5L

    Time frame: up to 2 months, assessed twice in this period

    5 items self-reported and visual analogue scale, 0-100, where 100 is the best imaginable health today

  7. Program Implementation and Evaluation Measure

    Time frame: at baseline and 1-year following implementation

    15-item measure to assess health care professionals' perceptions of digital care, measured using a Likert scale of 1 to 5, with 1= Not at all, 2=Slightly, 3=Moderately, 4=Very Much, and 5= Entirely. Includes three open-ended questions

  8. Montgomery caregiver burden inventory measure

    Time frame: at approximately 48 hours following admission and at 31-days post-discharge

    11-items to assess objective, relationship, and stress for caregivers. A 5-point response set ranging from 1 (not at all) to 5 (a great deal)

  9. Clinical Sustainability Assessment Tool

    Time frame: at baseline and 1-year following implementation

    Exploratory - measures organizational and contextual factors for sustainability of a project or initiative. Uses a 7-point Likert scale where 1= to little or no extent to 7=to a great extent. Also includes response option of N/A - not able to answer.

Sponsors and collaborators

Lead sponsor

OSF Healthcare System

Other

Registry information

Official study title

Examining the Intervention Effectiveness of Hospital at Home for Improving Health Outcomes and Experiences for Patients, Clinicians, and Caregivers

Acronym: HaH

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Jul 19, 2023
Registry last updated
Mar 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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