Evaluation of Intensive Management Patient Aligned Care Team
NCT02932228 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 583
Last updated 2019-06-12
Summary
This evaluation will examine the feasibility, implementation, and effectiveness of a quality improvement intervention-Intensive Management Patient Aligned Care Team (ImPACT)-for high-risk patients.
Conditions
- Primary Health Care
- Health Care Costs
Interventions
- OTHER
-
ImPACT
The ImPACT team offers the following services: * An intensive intake process, including a home visit if deemed appropriate * Frequent contact (in-person, telephone, or secure messaging) tailored to a patient's needs * After-hours access to on-call team member in order to avoid unnecessary emergency care * Optimization of chronic condition management using evidence-based protocols * Navigation of transitions between hospital and home * Coordination of specialty care, including contact with specialists when indicated * Rapid response to signs of health status deterioration or other stressful events * Assess patient goals, advance directives, Physician Orders for Life-Sustaining Treatment
Sponsors & Collaborators
-
VA Palo Alto Health Care System
collaborator FED -
Veteran Affairs Office of Patient Care Services
collaborator FED -
VA Office of Research and Development
lead FED
Principal Investigators
-
Donna M Zulman, MD MS · VA Palo Alto Health Care System, Palo Alto, CA
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-01-01
- Primary Completion
- 2014-06-01
- Completion
- 2015-05-01
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