An Evaluation of the Michigan State Innovation Model in Washtenaw and Livingston Counties
調査の概要
詳細な説明
In 2017, the State of Michigan will offer enrollment in care management services to a set of patients in Washtenaw and Livingston Counties who are predicted to be high-frequency users of emergency departments. This is a quality improvement initiative. The Center for Healthcare Research and Transformation (CHRT) will administer this enrollment and collect patient data. The Principal Investigators will conduct a study that uses the data from this quality improvement initiative to compare the outcomes of the treatment and control groups. Specifically, the study will examine whether the care management services had an effect on the number of emergency department visits and the total healthcare spending of the patients in the treatment group.
The present study therefore is the second of two related projects - the first is the CHRT-administered random assignment and enrollment of patients into care management services. The present study is a secondary analysis of the data produced by the first project.
This Protocol Registration and Results submission refers to the secondary analysis component wherever applicable, and where not applicable, describes the information relevant to the CHRT project. For example, while the present study does not assign anyone into treatment or control groups, the Sample Description indicates "Probability Sample" to describe the way in which CHRT intends to enroll patients.
研究の種類
入学 (実際)
連絡先と場所
研究場所
-
-
Michigan
-
Ann Arbor、Michigan、アメリカ、48105
- Center for Healthcare Research & Transformation
-
-
参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion criteria:
- reside in Washtenaw or Livingston counties or have an unknown address;
- Have a probability of being admitted to an emergency department (ED) in Washtenaw or Livingston counties that exceeds a threshold value in a predictive model;
Exclusion criteria
- Patients referred by a community provider
- Patient declines to consent
研究計画
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
|
Treatment group
The set of patients in the sample who are offered enrollment in care management services.
|
Patients who receive care management services will interact with a care manager who will take an inventory of the patient's needs (including social determinants of health such as housing) and provide guidance about available social supports and clinical resources.
|
|
Control group
The set of patients in the sample who are not initially offered enrollment in care management services (will be offered enrollment after six months).
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Emergency department utilization
時間枠：6 months
|
Number of emergency department visits per patient
|
6 months
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Health care spending
時間枠：6 months
|
Dollars of health care spending incurred by patient
|
6 months
|
協力者と研究者
スポンサー
捜査官
- スタディディレクター：Marianne Udow-Phillips, MHSA、Center for Healthcare Research & Transformation
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
Care management servicesの臨床試験
-
Bekasi City Public HospitalUniversity of Groningen完了
-
Johns Hopkins UniversityNational Institute on Disability, Independent Living, and Rehabilitation Research; Rita & Alex...募集
-
Medstar Health Research InstituteAmenity Health, Inc.終了しました
-
George Washington UniversityTranscultural Psychosocial Organization Nepal完了
-
New York UniversityIndiana University; Moi University完了
-
Duke Universityまだ募集していません満足、患者 | 転倒によるけが | 静脈血栓塞栓症 (VTE) | 滞在日数 | CLABSI - 中心線関連血流感染症 | 看護師 | カテーテル関連尿路感染症 | 再入院率 | 病院は圧力損傷を獲得しましたアメリカ
-
New York UniversitySt. Luke's-Roosevelt Hospital Center完了
-
Fondation Oeuvre de la Croix Saint-Simon引きこもった