MedPath

Enhancing Complex Care Through an Integrated Care Coordination Information System

Phase 3
Completed
Conditions
Nurse Based Care Management
Health Information Technology
Interventions
Other: Data Collection
Registration Number
NCT01890603
Lead Sponsor
Care Management Plus
Brief Summary

Cluster randomized controlled trial comparing care coordination incentives to pay for performance (quality measure) incentives in clinics on utilization, cost, quality, and patient experience.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60000
Inclusion Criteria
  • Six Clinics participating whom Care Management Plus team has worked with before
  • Patients belonging to one of these six clinics
  • Picked based on an algorithm designed to identify high risk patients.
  • Clinic will review potential patients list and issue a survey with consent form
Exclusion Criteria
  • Younger than 18
  • Older than 90

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Care Coordination ArmData Collection-
Quality Measure ImprovementData Collection-
Primary Outcome Measures
NameTimeMethod
Rate of Utilizationup to 18 months

Utilization includes Emergency Department visits and hospitalizations for this high risk group.

Secondary Outcome Measures
NameTimeMethod
Patient Satisfaction/Experience0, 18 months

Patient Assessment of Care for Chronic Conditions (PACIC; Consumer Assessment of Healthcare Providers and Systems

Reduce Costs0, 12, 18 months

Costs will be aggregated and compared across groups

Improve quality of care0,3,6,9,12,15,18 months

5 pre-validated quality measures will be aggregated and compared across groups.

Trial Locations

Locations (1)

Oregon Health & Science University

🇺🇸

Portland, Oregon, United States

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