Trial to Reduce Hospitalizations in Children With Medical Complexity
Trial to Reduce Hospitalizations in Children With Medical Complexity
The investigators hypothesize that an intervention, within an established patient-centered
 medical home, aimed at reducing modifiable risks for hospitalization, can decrease hospital
 utilization among medically complex children.
The investigators will pilot test an intervention that includes contingency planning and care
 transitions within an established medical home program caring for children with medical
 complexity. Children with medical complexity receiving care within the UCLA Medical Home
 Program will be randomized to the pilot intervention or usual medical home care. The primary
 goal will be to reduce admissions and readmissions in the intervention group.
Inclusion Criteria:

 -  Children ages 0 to 17 years old who are enrolled in the Pediatric Medical Home Program
 at UCLA

 -  English and Spanish-speaking only

 Exclusion Criteria:

 -  Children older than 17 years old who are enrolled in the Pediatric Medical Home
 Program

 -  Non-English and Non-Spanish speakers