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

Our research team includes physicians, residents, medical students, research assistants, and volunteers. Our research topics include medical imaging, device validation,  mobile application development, and pharmaceutical trials.  

Some of the Neuro-Opthalmic concerns we investigate include Multiple Sclerosis, Optic Neuritis, IIH, and ICP.