IMPACT Plus: The Integrated Complex Care Clinic
1 other identifier
interventional
350
0 countries
N/A
Brief Summary
The "IMPACT Plus" Integrated Complex Care Clinic will create a team model of simultaneous interprofessional consultation and planning that brings together patients with complex or multiple chronic diseases, significant others/caregivers, the primary care team, community care providers and, uniquely, secondary consultation in real time at the primary care site. The purpose of this study is to evaluate whether the IMPACT clinic will reduce admission to hospital and visits to the emergency department (ED) in comparison to a control (usual care) group during a one year period of observation. Chart audits will be conducted on a monthly basis to calculate patients' complexity scores and data on all health services provided during the intervention phase, and compared between the intervention and control group. Additionally, surveys and semi-structured interviews aimed to measure patient, caregiver, and healthcare professional satisfaction of the IMPACT+ prior to and after initial assessment will be collected.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2012
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 1, 2012
CompletedFirst Posted
Study publicly available on registry
March 7, 2012
CompletedStudy Start
First participant enrolled
April 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2013
CompletedMarch 7, 2012
March 1, 2012
8 months
March 1, 2012
March 6, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Hospital Admissions
We will compare the hospitalization rates between those who have received and those who have not received the intervention
6 months
Secondary Outcomes (1)
Emergency room visits
6 months
Study Arms (2)
interprofessional assessment
EXPERIMENTALpatients receive an interprofessional assessment in a team environment
usual care
ACTIVE COMPARATORUsual care in family practice
Interventions
assessment by interprofessional team
Eligibility Criteria
You may qualify if:
- years of age or older;
- three or more chronic diseases requiring monitoring and treatment (or two chronic diseases when one is frequently unstable);
- five or more long-term medications;
- a minimum of one ADL limitation; and
- approval by family physician as suitable for IMPACT assessment.
You may not qualify if:
- previous IMPACT assessment; or
- deemed not suitable by family physician.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 1, 2012
First Posted
March 7, 2012
Study Start
April 1, 2012
Primary Completion
December 1, 2012
Study Completion
March 1, 2013
Last Updated
March 7, 2012
Record last verified: 2012-03