An Evaluation of Virtual Behavioral Health Integration Into Primary Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5,777
- 试验地点
- 40
- 主要终点
- Cost of Care
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
Cost of Care
时间窗: 90 days from a patient's primary care visit
Total cost of care reimbursed from Medicare and value-based contracts
次要结局
- pharmacy Cost of Care(90 days from a patient's primary care visit)
- Compare the 90-day acute care utilization rate after the index primary care visit(90 days from a patient's 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)