Impact of the CommunityRx Program on Health, Service Utilization and Costs
- Conditions
- Connecting Patients to Self-care Resources
- Interventions
- Behavioral: HealtheRx
- Registration Number
- NCT02411409
- Lead Sponsor
- University of Chicago
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 113295
- 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.
- Patients receiving care at a clinical site not connected to CommunityRx.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group HealtheRx This group of patients receives the HealtheRx.
- Primary Outcome Measures
Name Time Method Change in cost per beneficiary per year Annual, up to 6 years Cost per beneficiary per year
- Secondary Outcome Measures
Name Time Method Change in controlling high blood pressure Every 3 months, up to 72 months % of patients \>=18 years old with hypertension diagnosis and a most recent BP measure \<140/90mg
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 Program participant survey, the percent of program participants who report that their HealtheRx is useful
Change in HbA1c control Every 3 months, up to 72 months Percentage of patients 18-75 years of age with diabetes (type 1 or type 2) who had hemoglobin A1c \> 9.0 %.
Change in rate of participant use of community-based service providers listed on HealtheRx Every 3 months, up to 60 months Program participant survey, percent of participants who report using at least 1 service listed on their HealtheRx
Change in inpatient admission rate Every 3 months, up to 72 months Average number of in patient admissions per person
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 Program participant survey, the percent of program participants who report that they shared information about the HealtheRx with someone else
Change in HealtheRx reach (proportion of the population in the geography who receive at least 1 HealtheRx) Every 3 months, up to 60 months The proportion of the population in the geography who receive at least 1 HealtheRx
Change in HealtheRx delivery (providers communicate to patients about the HealtheRx) Every 3 months, up to 60 months providers communicate to patients about the HealtheRx
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 Program participant survey, the percent of program participants who report that they did not know about some of the places listed on their HealtheRx
Change in provider confidence in serving social needs (Provider satisfaction survey,) Every 6 months, up to 60 months Provider satisfaction survey, the proportion of providers reporting they are confident in their ability to serve their patients social needs
Change in emergency department visit rate Every 3 months, up to 72 months Hospital emergency department visit rate, overall and for patients diagnosed with a) diabetes, b) hypertension, and c) asthma
Change in participant satisfaction (percentage of participants reporting they are satisfied with the HealtheRx) Every 3 months, up to 60 months Program participant satisfaction survey, percentage of participants reporting they are satisfied with the HealtheRx
Change in provider satisfaction ( percent of providers reporting they are satisfied with the HealtheRx system) Every 6 months, up to 60 months Provider satisfaction survey, percent of providers reporting they are satisfied with the HealtheRx system
Change in body mass index Every 3 months, up to 72 months Percentage of patients overweight or obese (BMI \>=25.0 and \<30, BMI \>=30)
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 Program participant survey, the percent of program participants who report that their HealtheRx is easy to understand
Trial Locations
- Locations (1)
University of Chicago
🇺🇸Chicago, Illinois, United States