Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06581224

Implementation of a Primary Hospital Provider (PHP) Team

Led by University of Wisconsin, Madison · Updated on 2026-01-26

1200

Participants Needed

1

Research Sites

155 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this pragmatic clinical trial is to learn if it is possible to implement a Primary Hospital Provider (PHP) team that aims to improve continuity of care for patients who are frequently hospitalized. The main question it aims to answer is: Are patients assigned to the PHP team more likely to be assigned to this team during a follow up hospitalization? Researchers will compare this to similar patients assigned to receive usual care. Some patient participants (or their caregivers) from both the PHP team and usual care groups will be asked to participate in interviews to help researchers understand the needs of patients who are frequently admitted and the care they receive.

CONDITIONS

Official Title

Implementation of a Primary Hospital Provider (PHP) Team

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age greater than 18 at the time of index admission
  • Two or more hospitalizations to a general medicine service at UW Health (University Hospital or East Madison Hospital) within the past 12 months
  • EPIC Readmission Risk Score greater than a predetermined value
Not Eligible

You will not qualify if you...

  • Outpatient primary care provider is part of the UW Health Family Medicine service that admits their own patients to a separate service at University Hospital
  • Patients actively receiving chemotherapy or immunotherapy for cancer
  • Incarcerated persons
  • Pregnant women

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

UW Hospital and Clinics

Madison, Wisconsin, United States, 53792

Actively Recruiting

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Research Team

S

Sara Westergaard, MD, MPH

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

2

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