Rationale and study protocol for the Nursing Home Compare Plus (NHCPlus) randomized controlled trial: A personalized decision aid for patients transitioning from the hospital to a skilled-nursing facility

Contemporary Clinical Trials
Dara H SorkinDana B Mukamel

Abstract

Annually more than 3 million people are admitted to one of the 15,965 skilled nursing facilities (SNFs) in the United States, with 90% of admissions occurring from a hospital. Although the Centers for Medicare and Medicaid Services (CMS) publishes several internet-based report cards, including one for nursing homes (Nursing Home Compare, NHC), they are not widely used. This is due, in part, to the complexity of the information available and the fact that the choice of nursing homes is typically made while in the hospital without access to the web-based NHC. We developed Nursing Home Compare Plus (NHCPlus) to address these limitations and to improve the decision-making process. This paper describes the design and rationale of a two-arm randomized controlled trial designed to test the effectiveness of NHCPlus compared to usual care only, in a sample of patients being discharged from the hospital to an SNF (N=229). Assessments were conducted within 24h prior to patient discharge and 30-days post discharge. Primary outcomes to be examined included the use of NHC, increased choice of nursing homes with better reported outcomes, and increased distance between patient/family residence and nursing home. Secondary outcomes included sati...Continue Reading

References

Aug 4, 2007·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Dana B MukamelAnn Dozier
Feb 6, 2008·Health Services Research·Dana B MukamelJacqueline S Zinn
Jun 6, 2009·Health Services Research·Rachel M WernerJeongyoung Park
Sep 8, 2010·Health Affairs·Rachel WernerDaniel Polsky
Jul 28, 2011·Health Services Research·David C Grabowski, Robert J Town
Oct 29, 2013·Annual Review of Public Health·Dana B MukamelDavid L Weimer

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Citations

May 7, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Kelly RathBrandon Foreman
Oct 26, 2016·Health Services Research·Dana B MukamelDara H Sorkin
Apr 24, 2019·Health Services Research·David L WeimerDana B Mukamel

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