Transitional care from skilled nursing facilities to home: study protocol for a stepped wedge cluster randomized trial.

ABSTRACT:

Background

Skilled nursing facility (SNF) patients are medically complex with multiple, advanced chronic conditions. They are dependent on caregivers and have experienced recent acute illnesses. Among SNF patients, the rate of mortality or acute care use is over 50% within 90 days of discharge, yet these patients and their caregivers often do not receive the quality of transitional care that prepares them to manage serious illnesses at home.

Methods

The study will test the efficacy of Connect-Home, a successfully piloted transitional care intervention targeting seriously ill SNF patients discharged to home and their caregivers. The study setting will be SNFs in North Carolina, USA, and, following discharge, in patients' home. Using a stepped wedge cluster randomized trial de

SUBMITTER: Toles M 

PROVIDER: S-EPMC7863858 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature