Virtual Behavioral Health Integration
- Conditions
- AnxietySubstance Use DisorderDepression
- Interventions
- Behavioral: Virtual Behavioral Health Integration
- Registration Number
- NCT04106388
- Lead Sponsor
- Wake Forest University Health Sciences
- Brief Summary
The primary objective is to evaluate the effectiveness of the virtual behavioral health integration (VBHI) program compared to usual care, on reducing the total cost of care reimbursed from Medicare and value-based contracts within 90 days of a patient's primary care visit.
- Detailed Description
To enhance the care of patients seen in the primary care setting, Atrium Health has designed a virtual behavioral health integration program. A behavioral health care team comprised of licensed clinicians (Behavioral Health Professionals), health coaches, a consulting psychiatric pharmacist and psychiatric providers follow patients for up to 3 months or more depending on patient need after their primary care office visit. This virtual behavioral health integration (VBHI) program is currently available in 36 Atrium Health primary care practices providing support to over 200 providers and medical residents. The Behavioral health Service line is expanding the program to additional primary care practices. Atrium Health and the Carolinas Physician Alliance is interested in evaluating the effectiveness of the program on reducing the total cost of care.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 5777
- 18 years of age or older
- Primary care office visit
- Have a Patient Health Questionnaire-9 (PHQ-9) and overall score >=10 or Question 9 >0
- Medicare or value-based contract associated with a patient in the past year at the time of the primary care visit.
- A patient will contribute to the analysis once using their initial enrollment to either arm of the study.
- No insurance claim for the index primary care visit in the data warehouse upon evaluation.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Virtual Behavioral Health Integration Virtual Behavioral Health Integration All patients who meet eligibility criteria at sites where the virtual behavioral health program is offered will be considered exposed to the intervention.
- Primary Outcome Measures
Name Time Method Cost of Care 90 days from a patient's primary care visit Total cost of care reimbursed from Medicare and value-based contracts
- Secondary Outcome Measures
Name Time Method pharmacy Cost of Care 90 days from a patient's primary care visit Pharmacy related cost of care reimbursed from Medicare and value-based contracts
Compare the 90-day acute care utilization rate after the index primary care visit 90 days from a patient's primary care visit Does a patient have an inpatient, observation, or emergency department encounter after their primary care visit
Compare the 90-day primary care utilization rate after the index primary care visit 90 days from a patient's primary care visit Does a patient have a primary care encounter after their primary care visit
Trial Locations
- Locations (20)
Albermarle Medical Services
🇺🇸Albemarle, North Carolina, United States
Charlotte Medical Clinic Arboretum
🇺🇸Charlotte, North Carolina, United States
North Charlotte Medical Specialists Huntersville
🇺🇸Charlotte, North Carolina, United States
Mecklenburg Medical Group - Steele Creek
🇺🇸Charlotte, North Carolina, United States
NorthEast Internal and Integrative Medicine
🇺🇸Concord, North Carolina, United States
East Lincoln Primary Care
🇺🇸Denver, North Carolina, United States
Riverwood Medical Associates
🇺🇸Gastonia, North Carolina, United States
Ardsley Internal Medicine - Harrisburg
🇺🇸Harrisburg, North Carolina, United States
Dove Internal Medicine Union West
🇺🇸Indian Trail, North Carolina, United States
Indian Trail Family Medicine
🇺🇸Indian Trail, North Carolina, United States
Kings Mountain Internal Medicine
🇺🇸Kings Mountain, North Carolina, United States
Kannapolis Internal Medicine
🇺🇸Kannapolis, North Carolina, United States
West Lincoln Family Medicine
🇺🇸Lincolnton, North Carolina, United States
Dove Internal Medicine - Monroe
🇺🇸Monroe, North Carolina, United States
Union Family Practice
🇺🇸Monroe, North Carolina, United States
Mooresville Internal Medicine Associates
🇺🇸Mooresville, North Carolina, United States
Oakboro Medical Services
🇺🇸Oakboro, North Carolina, United States
Shelby Family Practice
🇺🇸Shelby, North Carolina, United States
Richfield Medical Services
🇺🇸Richfield, North Carolina, United States
Union Primary Care
🇺🇸Wesley Chapel, North Carolina, United States