Persons With Disabilities Generating Quality Metrics

Persons With Disabilities Generating Quality Metrics to Inform Integrated Care

No standard way exists to measure the quality of medical care or independent living long-term services and supports provided to persons with disabilities. This project will: provide a broader picture of how consumers with disabilities define care and care quality; measure the value of using consumers' expertise in developing, collecting, and assessing quality measures; and use this information to assist One Care providers in improving care delivered to their enrollees

Study Overview

• Status: Completed
• Conditions: Physical Disability; Chronic Mental Disorder
• Intervention / Treatment: Other: Survey; Other: YESHealth

Detailed Description

The aims of the project are as follows:

1. To work with persons with significant physical disabilities and serious and persistent mental illness to develop two new approaches to assess quality of care:

   Approach #1: We will survey enrollees about their experiences in One Care and their thoughts about the care they receive. This survey will also ask One Care enrollees about how they manage their care and what self-direction means to them. The survey will be called the Persons with Disabilities Quality Survey (PDQ-S), and it will be available in English and Spanish versions.

   Approach #2: Enrollees in One Care will provide information about their perceptions of care quality to a trained team of persons with disabilities who will report the information to One Care care teams. The goal of the activity is to support quality improvement in One Care through hearing the consumer's voice. This is called YES Health - Your Experience: Speak up for better health care.

2. We want to test how providing consumer informed and consumer directed quality information to One Care providers affects One Care quality.
3. We want to improve the ability of One Care enrollees to manage their own health care and to recognize and report quality problems

• Study Type: Interventional
• Enrollment (Actual): 451
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 21 years to 64 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• One Care enrollee
• Permanent physical disability and/or serious mental illness
• Seen at designated practice site
• English or Spanish speaking

Exclusion Criteria:

• Persons with an intellectual or a developmental disability

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control - Standard Practice; Standard measures of quality at baseline. No intervention reports sent to providers
Experimental: Survey; Persons with Disabilities Quality Survey.PDQS Survey Reports Intervention.reports sent to providers of OneCare enrollees	Other: Survey; PDQS survey reports only
Experimental: YESHealth; Arm 3: YESHealth Reports and PDQS Survey Reports sent to providers of OneCare enrollees	Other: Survey; PDQS survey reports only; Other: YESHealth; Arm 3: YESHealth and PDQS survey reports to providers

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Improved Quality of Care	% who agree that their quality of care Is better, the same or worse than before	12 months

Collaborators and Investigators

• Sponsor: Massachusetts General Hospital
• Collaborators: Patient-Centered Outcomes Research Institute
• Investigators: Principal Investigator: Lisa I Iezzoni, MD, MSc, Mongan Institute Health Policy Center, Massachusetts General Hospital

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2015
• Primary Completion (Actual): October 7, 2016
• Study Completion (Actual): October 7, 2016

Study Registration Dates

• First Submitted: February 24, 2015
• First Submitted That Met QC Criteria: March 16, 2015
• First Posted (Estimate): March 17, 2015

Study Record Updates

• Last Update Posted (Actual): November 21, 2018
• Last Update Submitted That Met QC Criteria: April 5, 2018
• Last Verified: April 1, 2018

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders
• Other Study ID Numbers: 2014000899

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO