385
Participants
Start Date
December 5, 2022
Primary Completion Date
April 30, 2024
Study Completion Date
April 30, 2024
Care coordination delivered based on perceived need
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.
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.
New York Presbyterian Hospital - Weill Cornell Medicine, New York
Collaborators (1)
National Institute on Aging (NIA)
NIH
Brown University
OTHER
Weill Medical College of Cornell University
OTHER