Improving care continuity for patients at risk of hospitalization

Applying an Implementation Science Lens to Defragmenting Care for Patients at Increased Risk of Hospitalization: A Conference on Comprehensive Care

['FUNDING_OTHER'] · UNIVERSITY OF CHICAGO · NIH-10999916

This study is all about bringing together healthcare experts and patients to share ideas on how to provide better care for people who are more likely to be hospitalized, so everyone can learn ways to help patients stay healthy and connected to their care, both in the hospital and at home.

Quick facts

Phase['FUNDING_OTHER']
Study typeNih_funding
SexAll
SponsorUNIVERSITY OF CHICAGO (nih funded)
Locations1 site (CHICAGO, UNITED STATES)
Trial IDNIH-10999916 on ClinicalTrials.gov

What this research studies

This project involves a conference aimed at improving care for patients who are at increased risk of hospitalization. The University of Chicago Comprehensive Care Physician Program will bring together healthcare leaders, clinicians, social service providers, and patients to discuss and share effective care delivery models. The conference will focus on strategies to enhance continuity of care between inpatient and outpatient settings, which has been shown to improve patient outcomes. Participants will engage in both in-person and virtual sessions to learn about evidence-based practices that address complex medical and social needs.

Who could benefit from this research

Good fit: Ideal candidates for this research are patients who have complex medical and social needs and are at risk of frequent hospitalizations.

Not a fit: Patients who do not have complex health issues or are not at risk of hospitalization may not benefit from this research.

Why it matters

Potential benefit: If successful, this research could lead to improved health outcomes and reduced hospitalizations for patients at increased risk.

How similar studies have performed: Previous research has shown that improving continuity of care can significantly enhance patient outcomes, indicating that this approach has a solid foundation of success.

Where this research is happening

CHICAGO, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.