Comprehensive Care for Patients at High Risk of Hospitalization
(CCP Trial)
Trial Summary
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Comprehensive Care for patients at high risk of hospitalization?
The research on reducing hospital-acquired infections, like pneumonia, shows that using a team approach and improving care processes can lead to better patient outcomes. This suggests that a comprehensive care approach, which likely includes similar strategies, could be effective in reducing hospitalizations.12345
Is Comprehensive Care for Patients at High Risk of Hospitalization safe?
How is the Comprehensive Care treatment different from other treatments for patients at high risk of hospitalization?
The Comprehensive Care treatment is unique because it involves a physician model where doctors focus on both inpatient and outpatient care for patients at high risk of hospitalization, ensuring better care coordination and continuity. This approach contrasts with traditional care, where different doctors handle hospital and outpatient care separately, often leading to communication issues and increased costs.1112131415
What is the purpose of this trial?
The investigators propose an innovative new model of care in which patients identified to be at high risk of hospitalization are offered care by a physician who will direct their care both in the hospital and in clinic but is able to do so because they see patients only at high risk of hospitalization. This allows these physicians to have a panel of patients that is small enough that they can provide them with continuing ambulatory care but sick enough for those physicians to have enough of their patients hospitalized at any time to justify having the physician spend several hours each morning seeing those patients in the hospital, making the model economically viable and clinically valuable for the patient. The investigators estimate that each of the 5 physicians the investigators propose to establish in this model will serve a panel of about 200 patients in steady state with an average of 10 days of expected hospitalization and $75,000 each in Medicare spending per year, totaling $75 million annually. The investigators estimate that a 1% reduction in costs for these patients will be more than enough to cover the ongoing costs of the model the investigators propose; this is because the investigators' program reorganizes care rather than adding new forms of care.
Research Team
David Meltzer, MD, PhD
Principal Investigator
University of Chicago
Eligibility Criteria
This trial is for Medicare recipients who have been hospitalized at least once in the past year and are considered high risk for future hospitalizations. The goal is to provide these patients with a dedicated physician who manages their care both during hospital stays and outpatient clinic visits.Inclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive care from a Comprehensive Care Physician both in outpatient clinics and during hospitalizations
Follow-up
Participants are monitored for health outcomes, care utilization, and patient satisfaction
Treatment Details
Interventions
- Comprehensive Care
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Chicago
Lead Sponsor
Endeavor Health
Collaborator
University HealthSystem Consortium
Collaborator
University of Illinois at Chicago
Collaborator
Rush University Medical Center
Collaborator
Northwestern University
Collaborator
NorthShore University HealthSystem
Collaborator