Clinical Surveillance Tool for End of Life Care
(HOMR Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a tool designed to help doctors identify patients who may need special care as they near the end of their lives. The goal is to enhance how hospitals recognize and address the needs of patients with serious illnesses. Conducted at 12 hospitals, the trial evaluates whether the Clinical Surveillance Tool improves patient care. Eligible participants include patients newly admitted to participating hospital units who can understand and speak English well enough to take part in assessments. As an unphased trial, this study allows patients to contribute to advancements in hospital care for those with serious illnesses.
What prior data suggests that this clinical surveillance tool is safe for end-of-life care?
Research has shown that the Clinical Surveillance Tool is safe and easy to use. In earlier studies, both patients and healthcare providers found it practical and acceptable. The tool successfully influenced doctors' actions in hospitals, demonstrating its effectiveness in real-life situations.
This tool doesn't involve any medication or physical treatment. Instead, it uses data to identify patients who might need extra care. Since it's not a drug or medical procedure, there are no reports of physical side effects. Specifically, it improved the quality of end-of-life care without causing harm.
Overall, evidence supports the tool's safety for hospital use, and it has been well-received by users.12345Why are researchers excited about this trial?
Unlike traditional end-of-life care options that rely on medical staff assessments and standard checklists, the Clinical Surveillance Tool offers a more dynamic approach by utilizing predictive analytics to identify patients who may benefit from palliative interventions sooner. Researchers are excited about this tool because it integrates seamlessly into existing healthcare systems, providing real-time alerts and insights that can improve patient care without additional burden on healthcare providers. This innovative approach has the potential to enhance decision-making processes, ensuring patients receive compassionate and timely care tailored to their needs.
What evidence suggests that this clinical surveillance tool is effective for identifying unmet palliative needs?
Research has shown that the Clinical Surveillance Tool helps identify hospital patients at higher risk of passing away within a year. In this trial, researchers will observe participants after implementing the HOMR intervention, which uses this tool. Studies have found that many of these patients require extra care to manage symptoms and enhance their quality of life. The tool is easy to use and accepted by both patients and healthcare providers. It aids doctors in delivering better care for patients with serious illnesses by promoting timely and improved palliative care. Overall, the tool ensures patients receive the necessary support and attention during end-of-life care.16789
Are You a Good Fit for This Trial?
This trial is for newly admitted patients to certain medical units who may be in their final year of life. Participants must be able to understand and speak English well enough to answer assessment questions.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Implementation
Implementation of mHOMR/HOMR-Now! application to identify patients at increased risk of death and trigger screening for unmet palliative needs
Follow-up
Participants are monitored for safety and effectiveness after intervention
Continuous Improvement
Regular updates and sharing of learnings across sites to improve implementation
What Are the Treatments Tested in This Trial?
Interventions
- Clinical Surveillance Tool
Trial Overview
The trial tests a clinical surveillance tool designed to identify hospital patients at high risk of dying within the next year, aiming to improve palliative care by recognizing unmet needs early.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
patients seen after HOMR implementation at that site
Find a Clinic Near You
Who Is Running the Clinical Trial?
Ottawa Hospital Research Institute
Lead Sponsor
Centre for Aging and Brain Health Innovation
Collaborator
Bruyere Research Institute
Collaborator
Unity Health Toronto
Collaborator
London Health Sciences Centre
Collaborator
Headwaters Health Care Centre
Collaborator
Bruyère Health Research Institute.
Collaborator
Queen's University
Collaborator
Kingston Health Sciences Centre
Collaborator
Kingston Health Sciences Centre
Collaborator
Citations
Clinical Surveillance Tool to Screen for Unmet Palliative ...
Patients who were identified by the tool will also be followed over time to collect outcome and impact measures to see if their end-of-life care was affected
What gets measured in palliative care? A review and ... - PMC
We conducted an extensive review of policy documents to identify international best practice in the use of routine data in palliative care.
The Use of Person-Centered Outcome Measures to ...
The aim was to synthesize evidence on the use of person-centered outcome measures to facilitate integrated palliative care for older people.
Use of an automated prospective clinical surveillance tool to drive ...
We developed an accurate and reliable mortality prediction tool that automatically identifies patients in hospital at elevated risk of death in the coming year.
Automated Prospective Clinical Surveillance for Inpatients ...
Most were admitted with a frailty condition (227, 56.8%), followed by chronic organ failure (94, 23.5%) and cancer (80, 20%). At Site 1 (integrated notification) ...
Quality indicators and patient outcome measures for palliative ...
The objective of this systematic review is to assess the QIs and POMs used to evaluate palliative care service on aggregated and individual levels.
End-of-life care quality measures: beyond place of death
Clinical end-of-life care outcome metrics can assess care quality well, especially those which combine several metrics to provide holistic overall assessment;
8.
england.nhs.uk
england.nhs.uk/north/wp-content/uploads/sites/5/2018/06/Measuring_experience_in_care_in_end_of_life_care_-_An_overview.pdfMeasuring experience of care in end of life care: An overview
This paper gives an overview of measuring experience in end of life care and available resources. The underpinning principle is to use measurement/data to ...
9.
nationalcoalitionhpc.org
nationalcoalitionhpc.org/wp-content/uploads/2020/07/NCHPC-NCPGuidelines_4thED_web_FINAL.pdfClinical Practice Guidelines for Quality Palliative Care
These guidelines reflect the best available data and information. End-of-life discussions, goal attainment, and distress at the end of life: Predictors and ...
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