Health Related Quality of Life Clinical Trial
— I3CNOfficial title:
Improving Care for Children With Complex Needs (I3CN) Study
Verified date | October 2017 |
Source | Seattle Children's Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Seattle Children's Hospital (SCH), in collaboration with several health plans and Washington State Department of Social and Health Services developed the Comprehensive Case Management (CCM) program with the goal to reduce costs of care for medically complex children cared for at SCH as well as improve their health status and the quality of care they receive. The CCM program aims to develop and facilitate a reliable and standardized process that empowers the child's primary care provider and provides him/her with the resources s/he needs to avoid unnecessary emergency department visits and admissions. Our study will include children who had a hospitalization or emergency department visit at Seattle Children's between 2009-2012 and, at that time, had multiple active chronic medical issues but had no specialty service at Seattle Children's to help their primary care providers manage them.
Status | Completed |
Enrollment | 331 |
Est. completion date | September 29, 2017 |
Est. primary completion date | September 2014 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 3 Months to 18 Years |
Eligibility |
Inclusion Criteria: - between the ages of 3 months and 18 years, - have at least three chronic medical conditions requiring active management - were hospitalized or had an emergency department (ED) visit at SCH within the last year - their PCP is enrolled in the study Exclusion Criteria: - had 2+ visits to Pulmonary, Craniofacial, or Rheumatology within the last year - had 3+ visits to Nephrology, Gastroenterology and has either Short Gut Syndrome or Crohn's Disease, Endocrinology or Neuromuscular Clinic within the last year - has had 2+ visits to the Neurodevelopmental clinic and is followed by a NDV doctor - cancer patient - transplant recipient - has cystic fibrosis, muscular dystrophy or sickle cell anemia - has Down Syndrome and does not have any other medical issues aside from developmental delays - renal patient on dialysis - had a hospitalization for > 27 days |
Country | Name | City | State |
---|---|---|---|
United States | Seattle Children's Hospital | Seattle | Washington |
Lead Sponsor | Collaborator |
---|---|
Seattle Children's Hospital |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Cost of Care | The investigators will examine whether the children in the CCM group experience decreased annual costs of care. | Baseline, 12 month, 18 month | |
Primary | Health Care Quality Ranking | For Healthcare Quality Rating, the construct is Parent Satisfaction. Parents were asked to rate the quality of the health care their child received. Overall range is 0-100. Higher values equal a better outcome or more satisfaction. Sub scales are not combined. The scale is considered continuous. | Baseline, 12-months, 18-months | |
Primary | ED Visits Per Child | Baseline, 12-month, 18-month | ||
Primary | Inpatient Admissions Per Child | Baseline, 12 month, 18 month | ||
Primary | Hospital Days Per Child | Number of days each participant stayed in the hospital; assessed from hospital administrative discharge data | Baseline, 12-Month, 18-Month | |
Secondary | Physician Satisfaction | Primary care provider (PCP)'s satisfaction with the care coordination program was measured on a scale of 0-100, where the higher number indicates more satisfaction. This variable was collected at baseline and 12-months but was dropped from the 18 month follow-up as previous analysis suggested it was not relevant to the stated objective. | Baseline, 12 Months, 18 months |
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