Improving Care Transitions for Medicaid Insured Individuals With Co-occurring Serious Mental Illness
This study is looking at a program called the THRIVE Clinical Pathway, which helps Medicaid-insured individuals, including those with serious mental illness, after they've been in the hospital. The goal is to see if THRIVE helps people transition back home smoothly. Researchers will compare how often people referred to homecare, how many are readmitted to the hospital within 30 days, and how many visit the emergency room within 30 days, for those using THRIVE versus those receiving standard care. You might be able to join if you are 18 or older, have Medicaid insurance, live in Pennsylvania, were recently hospitalized at the study hospital, and agree to home care with a partner home care setting. The study is currently unclear on its recruitment status.
- Study design
- This study is an interventional study that plans to enroll 267 participants. It uses a mixed-methods approach, combining quantitative data (numbers) with qualitative data (interviews) to understand the THRIVE program.
- What's involved
- Not specified in the trial record.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants' rates of readmissions and emergency department visits will be measured 30 days following hospital discharge. Rates of referrals to homecare will be measured through study completion, an average of 18 months.
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Improving Care Transitions for Medicaid Insured Individuals With Co-occurring Serious Mental Illness
At a glance
Conditions
NCT06203509
Where you'd take part
This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.
Upenn School of Nursing Centre For Health Outcomes Policy Research
Philadelphia, Pennsylvaniastudy coordinator listed
Recruiting
Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.
Study leadership
- Jacqueline M Brooks Carthon, PhD,RN · PRINCIPAL_INVESTIGATOR · University of Pennsylvania
Who to contact
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Inclusion
Exclusion
What this trial measures
- Rates of Referrals to HomecareThrough study completion, an average of 18 months
We will evaluate changes in home care referrals between case managers exposed to the intervention compared to those who were not
- Rates of Readmissions30 days following hospital discharge
We will evaluate the rate of readmissions over the course of the study for THRIVE participants compared to those receiving usual care
- Rates of Emergency Department Visit30 days following hospital discharge
We will evaluate the rate of ED visits over the course of the study for THRIVE participants compared to those receiving usual care.
- Primary Care or Specialist Visit30 Days following hospital discharge
We will compare the rates of primary care provider and specialist visits within 30 days following discharge compared to those receiving usual care