Phase
Condition
N/ATreatment
Patient Priorities Care
Usual Care
Clinical Study ID
Ages > 65 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
2 encounters in prior 18 months
3 active health problems on active problem list or prescribed 10 medications
Exclusion
Exclusion Criteria:
nursing home resident
end stage renal disease on dialysis
active serious mental illness (psychosis, schizophrenia, etc)
active substance use disorder
complete hearing loss
dementia
Non-English speaker (translator required)
4 or more no-show appointments in the last 6 months
the investigators will present a list of eligible patients to PCPs prior to chartreview to identify patients who the PCP:
a) believes cannot participate independently or provide informed consent due tocognitive impairment
b) "would not be surprised if the patient passed away within the next 12months?"
Study Design
Connect with a study center
VA Connecticut Healthcare System West Haven Campus, West Haven, CT
West Haven, Connecticut 06516-2770
United StatesSite Not Available
Michael E. DeBakey VA Medical Center, Houston, TX
Houston, Texas 77030-4211
United StatesSite Not Available
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