Enhancing Complex Care Through an Integrated Care Coordination Information System

July 1, 2013 updated by: Care Management Plus

Ambulatory Safety and Quality Program: Improving Management of Individuals With Complex Healthcare Needs Through Health It

Cluster randomized controlled trial comparing care coordination incentives to pay for performance (quality measure) incentives in clinics on utilization, cost, quality, and patient experience.

Study Overview

Study Type

Interventional

Enrollment (Actual)

60000

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Oregon
      • Portland, Oregon, United States, 97239
        • Oregon Health & Science University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 90 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Six Clinics participating whom Care Management Plus team has worked with before
  • Patients belonging to one of these six clinics
  • Picked based on an algorithm designed to identify high risk patients.
  • Clinic will review potential patients list and issue a survey with consent form

Exclusion Criteria:

  • Younger than 18
  • Older than 90

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Care Coordination Arm
Research involving materials (data, documents, records, or specimens) that have been collected, or will be collected, solely for non-research purposes (such as medical treatment or diagnosis).
Active Comparator: Quality Measure Improvement
Research involving materials (data, documents, records, or specimens) that have been collected, or will be collected, solely for non-research purposes (such as medical treatment or diagnosis).

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Rate of Utilization
Time Frame: up to 18 months
Utilization includes Emergency Department visits and hospitalizations for this high risk group.
up to 18 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Patient Satisfaction/Experience
Time Frame: 0, 18 months
Patient Assessment of Care for Chronic Conditions (PACIC; Consumer Assessment of Healthcare Providers and Systems
0, 18 months
Reduce Costs
Time Frame: 0, 12, 18 months
Costs will be aggregated and compared across groups
0, 12, 18 months
Improve quality of care
Time Frame: 0,3,6,9,12,15,18 months
5 pre-validated quality measures will be aggregated and compared across groups.
0,3,6,9,12,15,18 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: David Dorr, MD MS, Oregon Health and Science University
  • Study Chair: Gwenivere Olsen, BS, Oregon Health and Science University
  • Study Chair: Kelli Radican, Oregon Health and Science University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

September 1, 2008

Primary Completion (Actual)

June 1, 2011

Study Completion (Actual)

June 1, 2011

Study Registration Dates

First Submitted

January 12, 2012

First Submitted That Met QC Criteria

July 1, 2013

First Posted (Estimate)

July 2, 2013

Study Record Updates

Last Update Posted (Estimate)

July 2, 2013

Last Update Submitted That Met QC Criteria

July 1, 2013

Last Verified

June 1, 2013

More Information

Terms related to this study

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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