Trial to Reduce Hospitalizations in Children With Medical Complexity

Phase 2

Completed

• Conditions: Chronic Illness
• Interventions: Behavioral: Routine Care; Behavioral: Plans of Action and Care Transitions

• Registration Number: NCT02277327
• Lead Sponsor: University of California, Los Angeles

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 Timeline

• Study First Submitted: 2014-10-24
• Study First Submitted QC: 2014-10-28
• Study First Posted: 2014-10-29
• Study Start: 2014-11
• Primary Completion: 2016-11
• Study Completion: 2016-11
• Status Verified: 2017-10
• Last Update Submitted: 2017-10-24
• Last Update Posted: 2017-10-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

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

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Exclusion Criteria

• Children older than 17 years old who are enrolled in the Pediatric Medical Home Program
• Non-English and Non-Spanish speakers

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Routine Care	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	Plans of Action and Care Transitions	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)

Primary Outcome Measures

Name	Time	Method
(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	18 to 24 months
(1) number of all-cause admissions, defined as any admission occurring during the study period	18 to 24 months

Trial Locations

Locations (1)

UCLA; 🇺🇸 Los Angeles, California, United States