Trial to Reduce Hospitalizations in Children With Medical Complexity

Randomized Controlled Trial to Decrease Admission Rates in Medically Complex Children in a Medical Home Program

Status

Completed

Phases

Phase 2

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02277327

Enrollment

200

Registered

2014-10-29

Start date

2014-11-30

Completion date

2016-11-30

Last updated

2017-10-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Illness

Keywords

Hospitalization, Readmissions, Medical complexity

Brief summary

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.

Detailed 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.

Interventions

BEHAVIORALPlans of Action and Care Transitions

Subjects randomized to the intervention will participate in action planning and care transitions (if hospitalized during the study period)

BEHAVIORALRoutine Care

Subjects randomized to the control group will continue to receive routine care within the medical home program

Study design

Allocation

RANDOMIZED

Intervention model

SINGLE_GROUP

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender

ALL

Age

1 Months to 17 Years

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

Design outcomes

Primary

Measure	Time frame
(1) number of all-cause admissions, defined as any admission occurring during the study period	18 to 24 months
(2) preventable admissions, defined by 2 independent physicians blinded to study assignment as an admission due primarily to one of the preventable factors identified from Phase 1 of the study	18 to 24 months

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026