This study is looking at whether a Nurse Navigator Program can help reduce hospital readmissions for patients considered high-risk after having a total or partial hip or knee replacement. High-risk patients are those with conditions like heart failure (HF), chronic obstructive pulmonary disease (COPD), or who are on dialysis. The Nurse Navigator Program involves a team of nurses who identify specific chronic conditions and suggest management care to primary care physicians, as well as referring patients to specialists. The study aims to see if this educational support leads to fewer hospital readmissions and if patients are satisfied with the program. We don't know the current recruitment status, but the study plans to enroll 300 participants.

Study design

This interventional study plans to enroll 300 participants. It compares patients who receive the Nurse Navigator Program to those who do not.

What's involved

Not specified in the trial record.

Compensation

Not stated in the trial record.

Follow-up

Participants will be followed for readmission rates for one year.

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