Randomized Controlled Trial to Decrease Admission Rates in Medically Complex Children in a Medical Home Program
Trial Snapshot
- Phase
- Phase 2
- Status
- Completed
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- (2) preventable admissions, defined by 2 independent physicians blinded to study assignment as an admission due primarily to one of the preventable factors identified from Phase 1 of the study
Study Overview
Brief Summary
The investigators hypothesize that an intervention, within an established patient-centered medical home, aimed at reducing modifiable risks for hospitalization, can decrease hospital utilization among medically complex children.
Detailed Description
The investigators will pilot test an intervention that includes contingency planning and care transitions within an established medical home program caring for children with medical complexity. Children with medical complexity receiving care within the UCLA Medical Home Program will be randomized to the pilot intervention or usual medical home care. The primary goal will be to reduce admissions and readmissions in the intervention group.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 1 Month to 17 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Children ages 0 to 17 years old who are enrolled in the Pediatric Medical Home Program at UCLA
- •English and Spanish-speaking only
Exclusion Criteria
- •Children older than 17 years old who are enrolled in the Pediatric Medical Home Program
- •Non-English and Non-Spanish speakers
Arms & Interventions
Intervention
Subjects randomized to the "intervention group" will participate in a bundled intervention that includes action planning and care transitions (for those hospitalized during the study period)
Intervention: Plans of Action and Care Transitions (Behavioral)
Routine Care
Subjects randomized to the "routine care" group will continue to receive their usual care from the Pediatric Medical Home Program at UCLA
Intervention: Routine Care (Behavioral)
Outcomes
Primary Outcomes
(2) preventable admissions, defined by 2 independent physicians blinded to study assignment as an admission due primarily to one of the preventable factors identified from Phase 1 of the study
Time Frame: 18 to 24 months
(1) number of all-cause admissions, defined as any admission occurring during the study period
Time Frame: 18 to 24 months
Secondary Outcomes
No secondary outcomes reported
Investigators
Thomas Klitzner, MD, PhD
Executive Directior, Pediatric Medical Home Program at UCLA
University of California, Los Angeles