Aging Clinical Trial
Official title:
IMPACT Plus: The Integrated Complex Care Clinic
The "IMPACT Plus" Integrated Complex Care Clinic will create a team model of simultaneous interprofessional consultation and planning that brings together patients with complex or multiple chronic diseases, significant others/caregivers, the primary care team, community care providers and, uniquely, secondary consultation in real time at the primary care site. The purpose of this study is to evaluate whether the IMPACT clinic will reduce admission to hospital and visits to the emergency department (ED) in comparison to a control (usual care) group during a one year period of observation. Chart audits will be conducted on a monthly basis to calculate patients' complexity scores and data on all health services provided during the intervention phase, and compared between the intervention and control group. Additionally, surveys and semi-structured interviews aimed to measure patient, caregiver, and healthcare professional satisfaction of the IMPACT+ prior to and after initial assessment will be collected.
Status | Not yet recruiting |
Enrollment | 350 |
Est. completion date | March 2013 |
Est. primary completion date | December 2012 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - The inclusion criteria are as follows: - 65 years of age or older; - three or more chronic diseases requiring monitoring and treatment (or two chronic diseases when one is frequently unstable); - five or more long-term medications; - a minimum of one ADL limitation; and - approval by family physician as suitable for IMPACT assessment. Exclusion Criteria: - The exclusion criteria are as follows: - previous IMPACT assessment; or - deemed not suitable by family physician. |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Sunnybrook Health Sciences Centre |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Hospital Admissions | We will compare the hospitalization rates between those who have received and those who have not received the intervention | 6 months | No |
Secondary | Emergency room visits | we will compare the rate of emergency room visits between those who received and those who did not receive the intervention | 6 months | No |
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