- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02286193
Creating a Clinic-Community Liaison Role in Primary Care: Engaging Patients and Community in Health Care Innovation (LINCC)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Patients are served best when multiple organizations work together to meet healthcare needs. In the Chronic Care Model, community resources supplement productive interactions between patients and care teams. However, healthcare delivery systems and health research have given relatively little attention to the model's community features. This project engages patients in designing a primary care community liaison role (Community Resource Specialist, CRS) connecting patients to clinic and community resources that support chronic disease prevention and management. The CRS role will enhance primary care by better integrating community resources into patient care.
The proposed design effort will:
- develop tools and work processes that promote meaningful patient engagement in creating a CRS concept and role
- integrate the CRS role into primary care teams
- assess effects of this role on patient-centered outcomes.
The patient engagement process will use principles from Lean, a quality improvement method, to engage all primary care stakeholders, particularly patients and clinical staff. The project will integrate community resources into the patient-centered medical home model of Group Health, a nonprofit healthcare system that provides coverage and care.
The project will enhance patient resources and options for managing and preventing chronic illness and improve patient-centered outcomes.
The project's specific aims are:
- Aim 1: Develop, implement, and evaluate new methods to involve patients intensively in care design. The investigators will create processes and tools to select and train participants and facilitate their productive contributions to care design. The investigators will document the approach's benefits and challenges using qualitative and quantitative data.
- Aim 2: Design and pilot a new CRS role for primary care teams. Robust engagement of patients in designing this new primary care team role will result in innovative, patient-centered solutions. The investigators will pilot this service at three clinics. The aim of the new service is to help patients more readily access the healthcare and community resources they need for preventing and treating chronic disease. The CRS also may help educate clinic staff about available community resources and increase the primary care team's use of holistic approaches to health.
- Aim 3: Evaluate the design and efficacy of the CRS. The investigators will conduct both formative and outcome evaluations of the CRS role.
Study Type
Enrollment (Actual)
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Enrolled at Group Health Cooperative, Seattle, Washington, in one of three pilot primary care clinics
- Referred or self-referred to the CRS for connection to community resources to support health goals
Exclusion Criteria:
- Not enrolled at Group Health
- Not enrolled in one of the pilot clinics
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Patients presenting to Community Resource Specialist (CRS)
Primary care patients who are referred or self-refer to the CRS for education and linkage to community resources that can help support health goals
|
CRS will work with patients to create goals, develop action plans and link to community resources to support goals
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants Receiving a Resource for Community Services
Time Frame: 3 months
|
Number of patients who completed at least one visit with the CRS and were given a referral for at least one resource, service, or organization.
This was assessed by abstraction and coding of CRS documentation in the medical record.
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants Setting a Goal With Their CRS
Time Frame: 3 months
|
Number of patients who completed at least one visit with the CRS and set a specific action-based goal with their CRS.
Patients could meet with the CRS and receive referrals to resources without setting specific action-based goals.
This was assessed by abstraction and coding of CRS documentation in the medical record.
|
3 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Clarissa Hsu, PhD, Group Health Research Institute
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 1011 Hsu PCORI Cycle 1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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