The Effects of Case Management in a Medicaid Managed Care Plan

Heart Diseases Clinical Trial

Official title: The Effects of Case Management in a Medicaid Managed Care Plan

Status Recruiting

Clinical Trial Summary

The purpose of this study is to evaluate whether or not case management by a social worker and nurse can decrease the number of emergency room visits, increase the number of primary care doctor visits, and increase quality of life of people in a Medicaid managed care plan.

Clinical Trial Description

This study will assign participants based on Zip Code to one of two conditions: control and experimental. In the control group, participants will receive telephonic assessments at baseline, three months, and six months. These assessments will be conducted by a member of the Medical Center’s Department of Geriatrics under the supervision of the Principal Investigator. Participants in the experimental group will receive medical case management provided by a nurse and social worker in the homecare setting including an in-home assessment. Assessments will be conducted at baseline, three months, and six months during routine homecare visits. Dependent variables being measured include: access to primary care physicians, emergent hospitalizations/admissions, articulation of advance directives, and quality of life. Data will be collected through the participants’ medical claims and records to analyze the number of emergent hospitalizations/admissions, documentation of advance directives, and number of visits to primary care physicians. To measure participants’ quality of life, the Depression Self-Rating Scale and the Clinical Anxiety Scale will be utilized. Data will be compared between and within the groups via statistical analyses. The researcher will conduct pre-post comparisons of utilization and other database-derived outcomes for both groups, comparing the 12 months prior to and up to 20 months following enrollment. ;

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Adrenal Cortex Diseases
• Heart Diseases
• Neoplasms

• NCT number: NCT00385879
• Study type: Interventional
• Source: Metropolitan Jewish Health System
• Contact: Russell E Hilliard, PhD, LCSW
• Phone: 718-491-7214
• Email: rhilliar@mjhs.org
• Status: Recruiting
• Phase: N/A
• Start date: May 2006
• Completion date: January 2008