A Study to Determine the Most Effective Transitional Care Components to Achieve Patient-Centered Care Transitions Between Different Types of Settings and Communities

Overview

About this study

The purpose of this study is to evaluate which evidence based transitional care components most effectively deliver the best outcomes in diverse populations and in different types of settings, and develop recommendations on best practices for patient-centered care transitions.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria

Diverse high risk patient populations, including those with
- Multiple chronic conditions
- Mental health issues
- Rural area homes
- Limited English proficiency or low health literacy
- Low socioeconomic status
- Medicare and Medicaid dual eligible
- Disabled and younger than 18

Exclusion Criteria

Children
Non-Medicare patients

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location	Status
Rochester, Minn. Mayo Clinic principal investigator Gregory Hanson, M.D.	Closed for enrollment

Mayo Clinic Location

Status

Rochester, Minn.

Mayo Clinic principal investigator

Gregory Hanson, M.D.

Closed for enrollment

More information

Publications

Publications are currently not available

Clinical Trials