Care4Today Heart Failure Platform

  • Research type

    Research Study

  • Full title

    A research study to evaluate the impact of a novel care pathway for patients diagnosed with Heart Failure within Chiltern CCG, supported by an integrated clinical patient record. Assessment of patient outcomes following implementation of Care4Today(R) Heart Failure Platform.

  • IRAS ID

    173818

  • Contact name

    Piers Clifford

  • Contact email

    piers.clifford@buckshealthcare.nhs.uk

  • Sponsor organisation

    Janssen Healthcare Innovation

  • Duration of Study in the UK

    1 years, 0 months, 6 days

  • Research summary

    This is an exploratory study to evaluate the impact of the novel Care4Today HF platform on a set of outcomes including hospital admission rate (primary diagnosis), 30 days post discharge readmission rate, length of hospital stay for patients with HF (primary and secondary diagnosis), patient quality of life, and patient clinical metrics.
    The study design includes comparison of two parallel cohorts: one where patients will be managed via the Care4Today HF platform (active cohort) and a second, where patients will be managed as per existing standards of care (control cohort).
    Evaluation phase:
    The evaluation phase will be set up to assess the potential benefits of the Care4Today HF platform. This will be implemented across 10 GP practices who will be part of the active cohort, within the Chiltern CCG region. The outcomes for these patients will be compared with the outcomes of patients in the control cohort over a one year period.
    Patients pathway (for the active cohort):
    Once the diagnosis of HF is confirmed, a HF specialist project nurse will register the patient on the Care4Today platform and provide the patient with instructions on how to use the patient portal, where patients can input various clinical measures, communicate with HCPs and track their condition.
    Complex patients, and/or patients that are deteriorating are referred to the community HF specialist nurse team where they will be monitored and managed.
    Statistical considerations:
    Both distributions and descriptive statistics of both central tendency (arithmetic means) and dispersion (standard deviation) will be presented for quantitative variables. Nominal variables will be described with frequencies, percentages and modes, while ordinal variables will also be presented as medians and interquartile ranges. Where comparisons are made, appropriate tests of significance such as the z test, Student’s t-test and the Mann Whitney test will be applied and other appropriate tests.

  • REC name

    London - Bromley Research Ethics Committee

  • REC reference

    16/LO/0070

  • Date of REC Opinion

    1 Mar 2016

  • REC opinion

    Further Information Favourable Opinion