Coronary Artery Disease Clinical Trial
Official title:
Evaluation of Programs of Coordinated Care and Disease Management
This is a Congressionally mandated study. In the original study, 16 demonstration programs
provided care coordination services to beneficiaries with chronic illness in Medicare's
fee-for-service program. A five-year CMS-funded study tested whether the programs can
improve patients' use of medical services, improve patients' outcomes and satisfaction with
care, and reduce Medicare costs. The study also assessed physicians' satisfaction with the
programs.
In 2008 Congress extended the project for two of the original programs--Mercy Medical Center
- North Iowa and Health Quality Partners in Pennsylvania--and they will enroll Medicare
beneficiaries and provide care coordination services into the spring of 2010.
Mathematica Policy Research, Inc. (MPR) evaluated 16 independent demonstration sites that
provide coordinated care interventions to Medicare beneficiaries with chronic illnesses. The
rationale for the demonstration is the lack of coordination among the multiple providers
typically serving Medicare beneficiaries with chronic illnesses, as well as the adverse
consequences of the lack of coordination for the beneficiaries and for Medicare costs. The
demonstration sites, selected in early 2001, offered programs designed to improve both the
care that patients receive and patients' knowledge of, and adherence with, recommended
self-care and behavior. The study estimated the effects of each site on patients' well-being
and satisfaction, in addition to the site's effects on the use and cost of Medicare covered
services. This analysis relied on a patient survey conducted 6 to 12 months after
enrollment, and on Medicare claims data and any data available from the demonstration sites
that could enhance the study. The study included two rounds of physician surveys. In each
site, eligible applicants were randomly assigned to treatment and control groups. An
extensive process analysis was conducted to describe the interventions in detail, with the
key goal being an assessment of those factors that account for program success and failure.
The study included case studies of each site, program profiles, interim site-specific memos,
two interim summary reports, two reports to Congress (based on the interim summary reports),
and a final summary report. This original study enrolled 18,277 beneficiaries.
In 2008 Congress extended the study for 2 of the sites, Mercy Medical Center - North Iowa
and Health Quality Partners in Pennsylvania, and they will recruit beneficiaries and provide
demonstration intervention services through the spring of 2010. Mathematica Policy Research
will evaluate the results of this extended demonstration using Medicare claims data and
qualitative site visits to the two programs.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT06030596 -
SPECT Myocardial Blood Flow Quantification for Diagnosis of Ischemic Heart Disease Determined by Fraction Flow Reserve
|
||
Completed |
NCT04080700 -
Korean Prospective Registry for Evaluating the Safety and Efficacy of Distal Radial Approach (KODRA)
|
||
Recruiting |
NCT03810599 -
Patient-reported Outcomes in the Bergen Early Cardiac Rehabilitation Study
|
N/A | |
Recruiting |
NCT06002932 -
Comparison of PROVISIONal 1-stent Strategy With DEB Versus Planned 2-stent Strategy in Coronary Bifurcation Lesions.
|
N/A | |
Not yet recruiting |
NCT06032572 -
Evaluation of the Safety and Effectiveness of the VRS100 System in PCI (ESSENCE)
|
N/A | |
Recruiting |
NCT05308719 -
Nasal Oxygen Therapy After Cardiac Surgery
|
N/A | |
Recruiting |
NCT04242134 -
Drug-coating Balloon Angioplasties for True Coronary Bifurcation Lesions
|
N/A | |
Completed |
NCT04556994 -
Phase 1 Cardiac Rehabilitation With and Without Lower Limb Paddling Effects in Post CABG Patients.
|
N/A | |
Recruiting |
NCT05846893 -
Drug-Coated Balloon vs. Drug-Eluting Stent for Clinical Outcomes in Patients With Large Coronary Artery Disease
|
N/A | |
Recruiting |
NCT06027788 -
CTSN Embolic Protection Trial
|
N/A | |
Recruiting |
NCT05023629 -
STunning After Balloon Occlusion
|
N/A | |
Completed |
NCT04941560 -
Assessing the Association Between Multi-dimension Facial Characteristics and Coronary Artery Diseases
|
||
Completed |
NCT04006288 -
Switching From DAPT to Dual Pathway Inhibition With Low-dose Rivaroxaban in Adjunct to Aspirin in Patients With Coronary Artery Disease
|
Phase 4 | |
Completed |
NCT01860274 -
Meshed Vein Graft Patency Trial - VEST
|
N/A | |
Recruiting |
NCT06174090 -
The Effect of Video Education on Pain, Anxiety and Knowledge Levels of Coronary Bypass Graft Surgery Patients
|
N/A | |
Terminated |
NCT03959072 -
Cardiac Cath Lab Staff Radiation Exposure
|
||
Completed |
NCT03968809 -
Role of Cardioflux in Predicting Coronary Artery Disease (CAD) Outcomes
|
||
Recruiting |
NCT04566497 -
Assessment of Adverse Outcome in Asymptomatic Patients With Prior Coronary Revascularization Who Have a Systematic Stress Testing Strategy Or a Non-testing Strategy During Long-term Follow-up.
|
N/A | |
Recruiting |
NCT05065073 -
Iso-Osmolar vs. Low-Osmolar Contrast Agents for Optical Coherence Tomography
|
Phase 4 | |
Completed |
NCT05096442 -
Compare the Safety and Efficacy of Genoss® DCB and SeQuent® Please NEO in Coronary De Novo Lesions
|
N/A |