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Research

Photo for PACT-HF

PACT-HF

Official Title

Patient-Centered Care Transitions in Heart Failure (PACT-HF): A pragmatic multi-center cluster randomized trial

Status

Ongoing

Overview

To test the effectiveness of a transitional care model – combining several evidence-informed interventions – in improving clinical, cost, and patient-centered outcomes across 16 hospitals. The work represents integrated Knowledge Translation, in which researchers and decision-makers are partners in research.

Study Design

Stepped wedge cluster randomized control trial

Primary Endpoint

Primary Aim: To determine the effectiveness of the PACT-HF model in decreasing (1) 30-day all-cause readmissions and (2) the 6-month composite outcome of all-cause emergency department (ED) visits, readmissions and deaths in patients being discharged from hospital with a most responsible diagnosis (MRD) of HF. Secondary Aim: To determine the effectiveness of the PACT-HF model in (1) improving the patient-centered outcomes of (i) Discharge Preparedness and (ii) Health-related Quality of Life (HrQOL), and (2) reducing 6-month total medical costs in patients hospitalized with HF.

Number of Patients

4500

Number of Sites

16

Number of Countries

1

Study Period

2014–2018

Principal Investigator

Harriette Van Spall

Program Manager

Kimberly Begley

Research Coordinator

Kim Simek