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Improving How Older Adults at Risk for Cardiovascular Outcomes Are Selected for Care Coordination
Sponsor: Weill Medical College of Cornell University
Summary
This pragmatic clinical trial embedded in an accountable care organization will determine the comparative effectiveness of two approaches for assigning care coordinators to older adults at risk for cardiovascular outcomes. The hypothesis is that assigning care coordinators to older adults based on perceived need will be more effective at preventing emergency department visits and hospitalizations compared to usual care.
Key Details
Gender
All
Age Range
65 Years - Any
Study Type
INTERVENTIONAL
Enrollment
400
Start Date
2023-05-17
Completion Date
2024-07-11
Last Updated
2026-07-23
Healthy Volunteers
No
Conditions
Interventions
Care coordination delivered based on perceived need
If patients in intervention group report on the survey that they experience difficulty coordinating care among their 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.
Care coordination delivered based on usual care (e.g. discharge from hospital)
If a patient is discharged from a hospital, the patient will be selected for care management services.
Locations (1)
New York Presbyterian Hospital - Weill Cornell Medicine
New York, New York, United States