Reducing Readmissions in High-Risk Ostomates | NCT02658123 | Trialant

Reducing Readmissions in High-Risk Ostomates | NCT02658123 | Trialant

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
Group A: Standard of care	Active Comparator	Standard of care pre-operative education Standard of care home health visits Standard of care follow-up post-operative visits with surgeon and CWOCN At 30-days post hospital discharge, the participant will: See the physician Turn in Patient Data Collection Form Turn in Healthcare Utilization Form Complete The City of Hope QOL Survey for Ostomy Patients Ostomy assessment with a CWOCN, including photo of ostomy site	Other: Pre-operative education (standard of care) Other: Home health care visits (standard of care) Other: Follow-up post-operative visits Other: Patient Data Collection Form Other: Healthcare Utilization Form Other: The City of Hope QOL Survey for Ostomy Patients
Group B: Phone call	Experimental	Standard of care pre-operative education Standard of care home health visits Standard of care follow-up post-operative visits with surgeon and CWOCN Telephone call 48-72 hours post-discharge from CWOCN/PA to evaluate tolerability to foods/fluids, activity level, screen for red-flags, review/assess for medication, reviewing pouching of ostomy, review patient's ability to obtain supplies, provide continued education, discuss proper use of durable medical equipment/frequency of pouch changes, and complete Patient Assessment Form. At 30-days post hospital discharge, the participant will: See the physician Turn in Patient Data Collection Form Turn in Healthcare Utilization Form Complete The City of Hope QOL Survey for Ostomy Patients Ostomy assessment with a CWOCN, including photo of ostomy site	Other: Pre-operative education (standard of care) Other: Home health care visits (standard of care) Other: Follow-up post-operative visits Other: Patient Data Collection Form Other: Healthcare Utilization Form Other: The City of Hope QOL Survey for Ostomy Patients Other: Phone call with CWOCN or PA

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
Impact of early implementation of post-operative assessment by Certified Wound Ostomy Continence Nurse (CWOCN) or physician's assistant (PA) via follow-up telephone call on health care utilization as measured by number of emergency room visits		Within the first 30 days after hospital charge (up to approximately 37 days)
Impact of early implementation of post-operative assessment by CWOCN or PA via follow-up telephone call on health care utilization as measured by number of hospitalizations		Within the first 30 days after hospital charge (up to approximately 37 days)
Impact of early implementation of post-operative assessment by CWOCN or PA via follow-up telephone call on health care utilization as measured by number of urgent care visits		Within the first 30 days after hospital charge (up to approximately 37 days)

Secondary Outcomes

Measure	Description	Time Frame
Impact that the early telephone follow-up and evaluation have on the number of office visits		First 30 days after hospital discharge (approximately 37-52 days after admission)
impact that the early telephone follow-up and evaluation have on the number of phone calls to the office

Contacts/Locations Module

References Module