An Evaluation of the Michigan State Innovation Model in Washtenaw and Livingston Counties
研究概览
详细说明
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.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Michigan
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Ann Arbor、Michigan、美国、48105
- Center for Healthcare Research & Transformation
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
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
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
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Treatment group
The set of patients in the sample who are offered enrollment in care management services.
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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.
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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).
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Emergency department utilization
大体时间：6 months
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Number of emergency department visits per patient
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6 months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Health care spending
大体时间：6 months
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Dollars of health care spending incurred by patient
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6 months
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合作者和调查者
调查人员
- 研究主任：Marianne Udow-Phillips, MHSA、Center for Healthcare Research & Transformation
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
Care management services的临床试验
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Montefiore Medical CenterSan Diego Sexual Medicine; Beyond Meat招聘中
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George Washington UniversityTranscultural Psychosocial Organization Nepal完全的
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Copenhagen University Hospital at HerlevRigshospitalet, Denmark未知
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Fondation Oeuvre de la Croix Saint-Simon撤销