Implementation of a Primary Hospital Provider (PHP) Team
NCT Number: NCT06581224
Acronym: PHP Team
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: High-need, High-complexity
Interventions: OTHER: Primary Hospital Provider Team
Sponsor: University of Wisconsin, Madison
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 700
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: HEALTH_SERVICES_RESEARCH
Start Date: 2024-10
Completion Date: 2025-09

Summary:
The goal of this pragmatic clinical trial is to learn if it is possible to implement a Primary Hospital Provider (PHP) team that aims to improve continuity of care for patients who are frequently hospitalized. The main question it aims to answer is: Are patients assigned to the PHP team more likely to be assigned to this team during a follow up hospitalization? Researchers will compare this to similar patients assigned to receive usual care. Some participants from both the PHP team and usual care groups will be asked to participate in interviews to help researchers understand the needs of patients who are frequently admitted and the care they receive.

Primary Outcome Measures: Number of patients readmitted to the PHP team, The number of patients in the PHP arm who were readmitted to the PHP team on subsequent hospitalizations., 11.5 months|Number of patients readmitted to usual care team, The number of patients in the usual care arm who were readmitted to a usual care team on subsequent hospitalizations., 11.5 months|Percentage of patients readmitted to the PHP team, The percentage of patients in the PHP arm who were readmitted to the PHP team on subsequent hospitalizations., 11.5 months|Percentage of patients readmitted to usual care team, The percentage of patients in the usual care arm who were readmitted to a usual care team on subsequent hospitalizations., 11.5 months
Other Outcome Measures: Themes that emerge as barriers from the patient perspective, Qualitative barriers during hospitalization for high-need, high-complexity patients that emerge from patient interviews. Interviews will be coded and themed and reported here., 6 months|Themes that emerge as facilitators from the patient perspective, Qualitative facilitators during hospitalization for high-need, high-complexity patients that emerge from patient interviews. Interviews will be coded and themed and reported here., 6 months|Acceptability as assessed from the patient perspective, Acceptability of the intervention will be assessed from patient interviews. Interviews will be coded and themed and reported here, 6 months|Themes that emerge as barriers from the hospitalist perspective, Qualitative barriers during hospitalization for high-need, high-complexity patients that emerge from focus groups with hospitalists. Focus groups will be coded and themed and reported here., 4 months|Themes that emerge as facilitators from the hospitalist perspective, Qualitative facilitators during hospitalization for high-need, high-complexity patients that emerge from focus groups with hospitalists. Focus groups will be coded and themed and reported here., 4 months|Acceptability as assessed from the hospitalist perspective, Acceptability of the intervention will be assessed from focus groups with hospitalists. Hospitalists will be coded and themed and reported here, 6 months