Education and Training

Evaluation of Intensive Management Patient Aligned Care Team

This evaluation will examine the feasibility, implementation, and effectiveness of a quality improvement intervention-Intensive Management Patient Aligned Care Team (ImPACT)-for high-risk patients.

Stanford is currently not accepting patients for this trial.

Stanford Investigator(s):

Intervention(s):

  • other: ImPACT

Eligibility


Inclusion Criteria:

   - Patient receives care from one of 14 primary care providers (MDs, NPs) who have at
   least three half-days of clinic per week

   - Total VA healthcare costs in the top 5% for VA Palo Alto facility during the 9-month
   eligibility phase (10/1/11-6/30/12) AND/OR

   - Risk for one-year hospitalization in November 2012 in the top 5% (using the VA's Care
   Assessment Need risk-prediction algorithm)

Exclusion Criteria:

   - Enrollment in VA's mental health intensive case management program, home-based primary
   care, or palliative care programs

   - Recipient of inpatient care for over half of the 9-month eligibility phase
   (10/1/11-6/30/12).

   - Total VA healthcare costs in the lowest cost decile in the 9-month eligibility phase
   (10/1/11-6/30/12)

   - Risk for one-year hospitalization in November 2012 in the lowest risk quartile (using
   the VA's Care Assessment Need risk-prediction algorithm).

Ages Eligible for Study

18 Years - N/A

Genders Eligible for Study

All

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Donna Zulman
650-725-7747
Not Recruiting