Retrospective Data Analysis of VitalCare Targeted Population Management on Scott and White Chronically Ill Beneficiaries

July 30, 2013 updated by: Scott & White Health Plan

Retrospective Data Analysis of the Impact of Vital Care Targeted Population Management Upon a Matched Cohort of Scott and White Health Plan Beneficiaries

New payment methods such as Accountable Care Organization (ACO's) and medical homes facilitate are new models for providers to deliver cost effective, quality patient outcomes. Integrated Care Coaching (ICC) is a healthcare delivery model combining telephonic interventions with an intelligent information technology platform that offered validated protocols and patient outcomes tracking. Health Integrated, Inc. has developed a validated program of Integrated Care Coaching (ICC), which was branded as "VitalCare", and implemented with over 7,000 members of the Scott and White Health Plan in Texas, would reduce healthcare costs/achieve a return on investment (ROI), improve clinical outcomes, and be satisfying for participants.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

A prospective, pre-post historical control design trial with a concurrent control group cost/satisfaction analysis with a retrospective clinical study was undertaken with adult, Scott and White Health Plan (SWHP) patients with chronic illnesses. From 2007 to 2010, a total of 7,411 ICC and 10,148 control patients participated. Variables were costs, return on investment (ROI), iterative Patient Health Questionnaire (PHQ)9 scores, and satisfaction.

Study Type

Interventional

Enrollment (Actual)

17559

Phase

  • Not Applicable

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

  • United States
    • Texas
      • Temple, Texas, United States, 76502
        • Scott & White Health Plan

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 and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • 18 years or older
  • Having one or more of 21 chronic conditions, including those with depression and multiple chronic comorbidities.

Exclusion Criteria:

  • Presence of Major Cancer, HIV, or ESRD in either the baseline or measurement periods
  • Claims in excess of $100,000 in either baseline or intervention period.
  • Claims for long term care or hospice in either baseline or intervention period.

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: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: ICC (Integrated Care Coaching)
Received evidence-based, protocol-driven integrated care coaching intervention to improve chronic illness health outcomes (clinical, financial).
Behavioral: ICC (Integrated Care Coaching) Intervention Group
Other Names:
  • Health Integrated Inc. Integrated Care Coaching (ICC)
Experimental: Control Group
Matched cohort by age and chronic illness diagnoses - no intervention
Behavioral: ICC (Integrated Care Coaching) Intervention Group
Other Names:
  • Health Integrated Inc. Integrated Care Coaching (ICC)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Return of Investment and Cost of Medical Care
Time Frame: 6 to 12 months
Primary outcomes were ROI and cost of medical care (including inpatient, outpatient, emergency room, office and other (ie, physical therapy). ICC participants and control group members had a minimum of 6 months to a maximum of 12 months measurement period.
6 to 12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Level of Depressive Symptoms per Interactive Patient Health Questionnaire (PHQ-9) scores
Time Frame: 6 to 12 months
Secondary outcome was level of depressive symptoms per Interactive Patient Health Questionnaire (PHQ-9) scores. ICC participants and control group members had a minimum of 6 months to a maximum of 12 months measurement period.
6 to 12 months

Other Outcome Measures

Outcome Measure
Time Frame
Patient Satisfaction
Time Frame: 6 to 12 months
6 to 12 months

Collaborators and Investigators

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

Sponsor

Scott & White Health Plan

Investigators

  • Principal Investigator: Marylou Buyse, M.D., M.S., Scott and White Health Plan

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

July 1, 2012

Primary Completion (Actual)

December 1, 2012

Study Completion (Actual)

December 1, 2012

Study Registration Dates

First Submitted

July 18, 2013

First Submitted That Met QC Criteria

July 29, 2013

First Posted (Estimate)

July 31, 2013

Study Record Updates

Last Update Posted (Estimate)

August 1, 2013

Last Update Submitted That Met QC Criteria

July 30, 2013

Last Verified

July 1, 2013

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 120246

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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