Virtual Behavioral Health Integration

Depression Clinical Trial

— VBHI  

Official title:

An Evaluation of Virtual Behavioral Health Integration Into Primary Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04106388
• Other study ID #: IRB00082499
• Secondary ID: 08-19-24E
• Status: Completed
• Phase: N/A
• Start date: August 14, 2019
• Est. completion date: May 8, 2021

Study information

• Verified date: June 2021
• Source: Wake Forest University Health Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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 information / eligibility

• Status: Completed
• Enrollment: 5777
• Est. completion date: May 8, 2021
• Est. primary completion date: February 8, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 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.

Exclusion Criteria:

• 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.

Related Conditions & MeSH terms

• Anxiety
• Depression
• Substance Use Disorder
• Substance-Related Disorders

Intervention

Behavioral:
• Virtual Behavioral Health Integration
The virtual behavioral health integration program, implemented in primary care settings, is a structured mental illness treatment program that includes both behavioral treatment and counseling components aimed at reducing cost of care, developing and sustaining adaptive coping strategies, and improving short term acute care utilization.

Locations

Country	Name	City	State
United States	Albermarle Medical Services	Albemarle	North Carolina
United States	Charlotte Medical Clinic Arboretum	Charlotte	North Carolina
United States	Mecklenburg Medical Group - Steele Creek	Charlotte	North Carolina
United States	North Charlotte Medical Specialists Huntersville	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	Kannapolis Internal Medicine	Kannapolis	North Carolina
United States	Kings Mountain Internal Medicine	Kings Mountain	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	Richfield Medical Services	Richfield	North Carolina
United States	Shelby Family Practice	Shelby	North Carolina
United States	Union Primary Care	Wesley Chapel	North Carolina

Sponsors (1)

Lead Sponsor	Collaborator
Wake Forest University Health Sciences

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Cost of Care	Total cost of care reimbursed from Medicare and value-based contracts	90 days from a patient's primary care visit
Secondary	Compare the 90-day acute care utilization rate after the index primary care visit	Does a patient have an inpatient, observation, or emergency department encounter after their primary care visit	90 days from a patient's primary care visit
Secondary	Compare the 90-day primary care utilization rate after the index primary care visit	Does a patient have a primary care encounter after their primary care visit	90 days from a patient's primary care visit
Secondary	pharmacy Cost of Care	Pharmacy related cost of care reimbursed from Medicare and value-based contracts	90 days from a patient's primary care visit