Medication Management for Transition Care

Recruiting · 18+ · All Sexes · Seattle, WA

Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities

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About the trial for Transition Care

Treatment Groups

This trial involves 2 different treatments. Medication Management is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
Medication Management
Structured hand-off
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.


This trial is for patients born any sex aged 18 and older. There are 2 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
18 years of age and older
Patients are admitted to the hospitals for inpatient care and discharged to a skilled nursing facility. show original
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Odds of Eligibility
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: Through intervention completion, around 3 years
Screening: ~3 weeks
Treatment: Varies
Reporting: Through intervention completion, around 3 years
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: Through intervention completion, around 3 years.
View detailed reporting requirements
Trial Expert
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- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Medication Management will improve 1 primary outcome and 3 secondary outcomes in patients with Transition Care. Measurement will happen over the course of 30 days post hospital discharge.

Medication Related Problems
Number of medication related problems experienced by patients within 30 days of hospital discharge
Number of deaths experienced by patients within each cohort
Number of readmissions within 30 days of index hospital discharge
Fidelity of intervention
Components of the intervention successfully completed

Who is running the study

Principal Investigator
G. D.
Prof. Giana Davidson, Associate Professor, School of Medicine: Surgery
University of Washington

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are common treatments for transition care?

The vast majority of respondents reported transitions or transitions of care, and some reported transitions, from at least one medical specialty to two other specialties. For medical and dental specialties, approximately two thirds of respondents reported transitions/transitions of care. Respondents were most likely to feel empowered by transitions that used the patient-centred care model, and less likely to feel empowered by transitions that used the fee-for-service model. The use of transitions and/or transitions of care were associated with enhanced access to care, improved patient satisfaction, and an improved quality of care provided. The benefits of these transitions/transitions of care likely result from shared decision-making and a more patient-centred provider-patient relationship.

Anonymous Patient Answer

Can transition care be cured?

Transition health and wellness care may empower individuals with long-term physical limitations by empowering them to manage their health and wellness during the transitions and transitions that occur during their disability. Such care, therefore, is conducive to the long-term goal of maximizing physical functioning beyond the recovery from disability.

Anonymous Patient Answer

What are the signs of transition care?

Transition care is one of the most often delayed phases of a person's hospital admission. The signs of transition may differ across countries depending on the organization and type of healthcare provided during the transition. The signs of transition may also be different from hospital admission, such as discharge or discharge planning.

Anonymous Patient Answer

What is transition care?

Transition care is a process and approach for managing patients through the transition of care from inpatient to the outpatient environment. The process encompasses a wide range of considerations, including patient and family preferences, provider and organizational culture, service availability, patient readiness and competence, and care coordination. The overall goal is to support the patients at the time of discharge from hospital and/or transition to another health services organization to maximize their ongoing care and overall health outcomes. The purpose of this article is to provide an introduction to the concepts and process of transition care and the impact it has on improving people's health outcomes.

Anonymous Patient Answer

How many people get transition care a year in the United States?

There is a paucity of U.S. data regarding the rate of transition care for people at risk of death. Estimates of transition care need to be derived from this U.S.-wide research or from alternative datasets.

Anonymous Patient Answer

What causes transition care?

In a recent study, findings from our nationwide analysis highlight several transition care factors that are consistently associated with a lower risk of discharge to another facility. The overall results suggest that improvement in transitions could provide a meaningful reduction in health care cost by avoiding unnecessary admissions and avoiding unnecessary use of nonclinical resources. Efforts to improve transitions should focus on strategies to decrease unplanned/unnecessary transitions. Efforts to ensure timely, appropriate discharge to home may be beneficial in preventing readmission, improving patient outcomes, decreasing institutional costs, and decreasing health care costs.

Anonymous Patient Answer

How does medication management work?

The medication management program had a positive effect on reducing the number of clinic visits and enhancing the general health status of diabetes care patients in the outpatient clinic. Further studies are needed to evaluate the effect of the medication management program on the clinical outcomes and costs of diabetes care.

Anonymous Patient Answer

What is the latest research for transition care?

Given the complexity of the topic, and the need for a clear definition of transition care as understood by researchers, clinicians, and managers, our hope is that further research would further delineate transition care more accurately and effectively.

Anonymous Patient Answer

Have there been any new discoveries for treating transition care?

Most evidence-based interventions addressing transition care are in their infancy, and there are very few clinical trials with reported results that support a definitive guideline for transition care. There remains a need for larger research studies to address these questions and for a clearer clinical pathway for transition from hospital to home-acquired care. Moreover, more research is definitely needed as the number of people over the age of 65 increases with an increasing life expectancy worldwide and the frequency of those requiring long-term care may increase as well. Finally, the transition from hospital to home-acquired care is a period that can be highly stressful, with new challenges, fears and fears of care problems for the elderly.

Anonymous Patient Answer

Is medication management typically used in combination with any other treatments?

A significant proportion of the people reported using medications which made a significant contribution to their health (65%). The most commonly used medications were analgesics (21%) and medicines to treat asthma (19%). Most of the people would like to have an enhanced medicines-management service available (79%). A medicines-management service may simplify their medicines regimen and improve their medication-management.

Anonymous Patient Answer

Have there been other clinical trials involving medication management?

It is vital to encourage patients to take medicines regularly and as prescribed. The challenge is to work out the best way for patients to take their medicines, since there is a need to balance the drug's efficacy, adherence and tolerability. Clinical trials are of particular importance in this respect. Future guidelines should incorporate information from recent clinical trials to help with the development of medicines for the management of patients at risk of transitioning from one medication to another as their condition changes.

Anonymous Patient Answer

Who should consider clinical trials for transition care?

The number of individuals who had already undergone a transition of care was low and most likely underestimated the need for further research from the perspectives of those with no known history of care, and those who did not want to undergo more routine, invasive and time-consuming measures like transitions of care.

Anonymous Patient Answer
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