Clinical Trials Logo

Clinical Trial Summary

Purpose: Implement a Patient Aligned Care Team (PACT) model that identifies and proactively manages Veterans at the highest risk for hospital admission and death while the patient is still in the ambulatory care setting.

Goal:

- Reduce emergency department and urgent care utilization, hospitalization, and mortality in complex, high risk patients

- Improve Veteran and staff satisfaction

Objectives:

- Maintain the patient in the home setting as much as possible

- Secure appropriate home environment to facilitate health and well-being

- Utilize comprehensive team-based care

- Engage appropriate Veteran Health Administration (VHA) programs to provide interdisciplinary, coordinated, and timely management of complex medical issues


Clinical Trial Description

n/a


Study Design


Related Conditions & MeSH terms


NCT number NCT04521816
Study type Interventional
Source Veteran Affairs Office of Patient Care Services
Contact
Status Completed
Phase N/A
Start date October 1, 2017
Completion date September 30, 2018

See also
  Status Clinical Trial Phase
Completed NCT03224858 - Ambulatory ICU Study for Medically and Socially Complex Patients N/A
Completed NCT03663075 - Effect of Group Education and Individual Counselling on Mental Health and Quality of Life in 45-60 Year Old Women N/A
Recruiting NCT04151056 - Impact of the Social Determinants of Health in the Central Catalan Region
Recruiting NCT05715151 - Continuous Quality Improvement Cohorts on Advanced Access N/A
Completed NCT01242319 - Translating ATP III Cholesterol Management Guidelines Into Primary Care Practice N/A
Recruiting NCT06155292 - Report Cards and Feedback for PCCE N/A
Completed NCT02955433 - The Impact of Rideshare Transportation Services on Appointment Adherence N/A
Completed NCT02266069 - PROject - Supportive and Palliative Care and INnOvation - Antwerp (Pro-Spinoza) N/A
Recruiting NCT04702711 - Experiences of Anger in Patients in Primary Health Care With Symptoms of Generalized Anxiety
Recruiting NCT05709860 - An Electronic Health Record-based Approach to Increase PrEP Knowledge and Uptake: the EMC2 PrEP Strategy N/A
Completed NCT05121688 - Effectiveness of a Physical Therapy Telerehabilitation Program in Long Post COVID-19 Symptoms in Primary Health Care. N/A
Completed NCT05329246 - Validation of PMcardio AI-assisted Clinical Assistant in Primary Care N/A
Completed NCT02953925 - National-wide Survey on Primary Health Care in China N/A
Completed NCT03100526 - Patient Aligned Care Team (PACT) Intensive Management (PIM) Project N/A
Active, not recruiting NCT04585191 - Reducing Treatment Risk in Older Adults With Diabetes N/A
Recruiting NCT05609981 - Optimising Medication With Focus on Deprescribing in Frail Older People With Multidose Drug Dispensing Systems N/A
Completed NCT04688359 - Effectiveness of Nurse-coordinated Follow-up Program in Primary Care for People at Risk for T2DM N/A
Withdrawn NCT04010136 - Identification of Elderly Patients in Need of Palliative Care by Family Physicians N/A
Completed NCT04237883 - Primary Care Clinical Excellence Incentive Study N/A
Completed NCT04183504 - Screening for Therapy and Empowering Parents: A Pilot Study N/A