At a glance
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Improving How People Living With Dementia Are Selected for Care Coordination: A Pragmatic Clinical Trial Embedded in an Accountable Care Organization
In Brief
A clinical study evaluating Care coordination delivered based on perceived need and Care coordination delivered based on usual care (e.g. discharge from hospital) for Dementia. Completed, enrolled 385 participants across 1 site.
Detailed Summary
Many people living with dementia (PLWD) and their care partners may benefit from the assistance of a care coordinator, a member of the medical team who facilitates communication among all the people involved. However, care coordinators' time is limited, and there is uncertainty about which patients should be selected to receive their help. This pragmatic clinical trial embedded in an accountable care organization will determine the comparative effectiveness of two approaches for assigning care coordinators to PLWD.
Study Details
Timeline
Interventions
If proxies for patients in intervention group report on the survey that they experience difficulty coordinating care among the patients' providers, the patient will be selected for care management services. Those services will attempt to address the problems with care coordination that the proxy reported.
If a patient is discharged from a hospital, the patient will be selected for care management services.