Status:

COMPLETED

Evaluation of a Personalized Care Management Program for High Hospital Utilizers

Lead Sponsor:

Wake Forest University Health Sciences

Conditions:

Comorbidities and Coexisting Conditions

Eligibility:

All Genders

18+ years

Brief Summary

This randomized clinical trial intends to evaluate the effectiveness of enrollment in Atrium Health's Multiple Visit Patient (MVP) care management program compared to usual care on reducing 12-month t...

Detailed Description

The list of patients with four or more inpatient hospital visits in 2019 will be pulled from the Atrium Health electronic data warehouse (EDW) by IAS Clinical Quality Analytics, and eligibility for th...

Eligibility Criteria

Inclusion

  • 18 years of age or older
  • 4 or more inpatient hospital visits across Atrium Health Metro hospitals in 2019

Exclusion

  • Existing MVP participants
  • Patients who at the time of identification for the MVP program are:
  • Actively enrolled in a Levine Cancer Institute oncology navigation program
  • Actively receiving hospice or palliative care
  • Attributed to a primary care provider at an outside healthcare system
  • Patients whose primary residence is a skilled nursing facility

Key Trial Info

Start Date :

April 23 2020

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

August 31 2021

Estimated Enrollment :

454 Patients enrolled

Trial Details

Trial ID

NCT04727567

Start Date

April 23 2020

End Date

August 31 2021

Last Update

April 22 2022

Active Locations (1)

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Atrium Health - Care Management Program

Charlotte, North Carolina, United States, 28203

Evaluation of a Personalized Care Management Program for High Hospital Utilizers | DecenTrialz