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PIM 2.0: Patient Aligned Care Team (PACT) Intensive Management (PIM) Project — PIM2  

Primary Health Care Clinical Trial

Official title:
PIM 2.0: Patient Aligned Care Team (PACT) Intensive Management (PIM) Project

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

Clinical Trial Details
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
View Details
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