Impact of the CommunityRx Program on Health, Service Utilization and Costs
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 113,295
- 试验地点
- 2
- 主要终点
- Change in cost per beneficiary per year
研究概览
简要总结
The CommunityRx system generates patient-centered e-prescriptions for community services (HealtheRx) via an interface between the electronic health records (EHR) and a comprehensive community resource database. Based on a patient's diagnoses, a HealtheRx will be printed automatically at the end of the ambulatory care visit and will provide patients with a customized map and/or list of places in their community that provide health and social services as well as contact information for a local community health worker who can provide limited case management support. The CommunityRx program aims to promote: 1) better healthcare, 2) better health, and 3) lower cost. The purpose of this research is to systematically evaluate the impact of CommunityRx on health outcomes as well as health care service utilization and total cost of care for Medicaid, Medicare and other beneficiaries. The investigators hypothesize that beneficiaries who participate in the CommunityRx intervention will experience better healthcare, better health and lower total cost of care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Intervention group eligibility: Patients receiving ambulatory care at a clinical site connected to CommunityRx who live in the CommunityRx geography. Control group eligibility: Patients receiving care at a clinical site connected to CommunityRx who live outside the CommunityRx geography.
排除标准
- •Patients receiving care at a clinical site not connected to CommunityRx.
结局指标
主要结局
Change in cost per beneficiary per year
时间窗: Annual, up to 6 years
Cost per beneficiary per year
次要结局
- Change in controlling high blood pressure(Every 3 months, up to 72 months)
- Change in HealtheRx usefulness (participant survey, the percent of program participants who report that their HealtheRx is useful)(Every 3 months, up to 60 months)
- Change in HbA1c control(Every 3 months, up to 72 months)
- Change in rate of participant use of community-based service providers listed on HealtheRx(Every 3 months, up to 60 months)
- Change in inpatient admission rate(Every 3 months, up to 72 months)
- Change in information sharing (participant survey, the percent of program participants who report that they shared information about the HealtheRx with someone else)(Every 3 months, up to 60 months)
- Change in HealtheRx reach (proportion of the population in the geography who receive at least 1 HealtheRx)(Every 3 months, up to 60 months)
- Change in HealtheRx delivery (providers communicate to patients about the HealtheRx)(Every 3 months, up to 60 months)
- Change in knowledge about resources (participant survey, the percent of program participants who report that they did not know about some of the places listed on their HealtheRx)(Every 3 months, up to 60 months)
- Change in provider confidence in serving social needs (Provider satisfaction survey,)(Every 6 months, up to 60 months)
- Change in participant satisfaction (percentage of participants reporting they are satisfied with the HealtheRx)(Every 3 months, up to 60 months)
- Change in provider satisfaction ( percent of providers reporting they are satisfied with the HealtheRx system)(Every 6 months, up to 60 months)
- Change in emergency department visit rate(Every 3 months, up to 72 months)
- Change in body mass index(Every 3 months, up to 72 months)
- Change in HealtheRx Understandability (participant survey, the percent of program participants who report that their HealtheRx is easy to understand)(Every 3 months, up to 60 months)