Can coaching or teamwork keep High-Risk veterans out of the hospital?

NCT ID NCT05050643

Ongoing Knowledge-focused Sponsor: VA Office of Research and Development Source: ClinicalTrials.gov ↗

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study compares two methods to help primary care teams deliver better care to Veterans at high risk of hospitalization. One method offers ongoing coaching to individual clinics, while the other uses a learning collaborative where teams share experiences. The goal is to see which approach helps more patients receive proven practices that can improve health and avoid hospital stays.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

What this could lead to: If successful, this could show which approach works best to help primary care teams manage complex, high-risk patients and reduce unnecessary hospital stays.
What could go wrong: This is a small, early-stage study with only 17 sites, so results may not apply broadly. It focuses on process changes, not a new drug or treatment.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

Medication Adherence

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

MULTIMORBIDITY

Contacts and locations

Locations

VA Greater Los Angeles Healthcare System, Sepulveda, CA

Sepulveda, California, 91343, United States
VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PA

Pittsburgh, Pennsylvania, 15240, United States
VA Puget Sound Health Care System Seattle Division, Seattle, WA

Seattle, Washington, 98108-1532, United States

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