Trial to Reduce Hospitalizations in Children With Medical Complexity

University of California, Los Angeles (UCLA)

Status and phase: Completed; Phase 2

Conditions: Chronic Illness

Treatments: Behavioral: Routine Care; Behavioral: Plans of Action and Care Transitions

Study type: Interventional

Funder types: Other

Identifiers

NCT02277327

UCLAMedHomeRCT

Details and patient eligibility

About

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.

Full 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.

Enrollment: 200 estimated patients

Sex: All

Ages: 1 month to 17 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Double Blind

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200 participants in 2 patient groups, including a placebo group

Intervention

Experimental group

Description:

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)

Treatment:

Behavioral: Plans of Action and Care Transitions

Routine Care

Placebo Comparator group

Description:

Subjects randomized to the "routine care" group will continue to receive their usual care from the Pediatric Medical Home Program at UCLA

Treatment:

Behavioral: Routine Care