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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT04125433
Other study ID # NCBHNPIC
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date August 1, 2020
Est. completion date August 30, 2022

Study information

Verified date October 2019
Source Northern New York Rural Behavioral Health Institute
Contact Barry Brogan, MAPP
Phone 518-891-9460
Email barry@behaviorhealthnet.orh
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Working through regional Accountable Care Organizations (ACO) the sponsor will establish a 2-year pilot project to demonstrate that early recognition and intervention in the various Social Determinant of Health (SDoH) domains can reduce avoidable Emergency Department (ED) visits by high utilizers. The regional ACO's will contract with Medicaid Managed Care Plans to assign traditional high ED utilizing members to the pilot project. Members will be offered enhanced peer facilitated care management services connecting members with available SDoH community based services. Members fitting our eligibility criteria will self-select by way of completing a pilot project consent form.


Description:

The project employs a two level intervention to include Peer Support Specialist (PSS) and Community Health Advocate (CHA). Contact and engagement with participating members will be through both direct intervention in the emergency department by Peer Support Specialist (the peer) as well as in the community for prevention visits and follow up by both the peer and Community Health Advocate. These well-positioned Peers and Community Health Advocates will address Behavioral and Social Determinants of Health (SDoH) concerns through a highly coordinated intervention supported by a common IT Medicaid member tracking platform. This research project will determine the feasibility of deploying a single shared IT platform that will include referral, appointment completion, and intervention outcome data. Project staff will develop a trusting relationship with the members and will improve member access and engagement with community-based services. The project will also seek to determine the impact on total cost of care through redirecting study participants to community resources that are more appropriate, and less expensive than return visits to the emergency department.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 400
Est. completion date August 30, 2022
Est. primary completion date June 30, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria:

- Adults age 18 to 65

- New York State Medicaid Managed Care Members

- Have utilized emergency department services 6 or more times in a 12-month period

- Have been assigned to the Pilot Project by their Medicaid Managed Care Plan

Exclusion Criteria:

- Individuals not assigned by a Managed Care Organization meeting the above criteria

Study Design


Intervention

Behavioral:
Peer Integrated Care Services
The project employs a two level intervention to include Peer Support Specialist (PSS) and Community Health Advocate (CHA). Contact and engagement with participating members will be through both direct intervention in the emergency department as well as in the community for prevention visits and follow up. Peers and Community Health Advocates will address Behavioral and Social Determinants of Health (SDoH) concerns through a coordinated intervention supported by a common IT Medicaid member tracking platform. This research project will determine the feasibility of deploying a single shared IT platform that will include referral, appointment completion, and intervention outcome data. Project staff will develop a relationship with the members improving member access and engagement with community-based services. The project will determine the impact on total cost of care through redirecting study participants to community resources rather than return visits to the emergency department.

Locations

Country Name City State
United States Northern New York Rural Behavioral Health Institute Saranac Lake New York

Sponsors (1)

Lead Sponsor Collaborator
Northern New York Rural Behavioral Health Institute

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in Adoption and Use of IT Platform Change in Number of Participating Agencies That Contribute Data to the IT System Months 6, 12, 18, 24
Primary Change in Engagement of Medicaid Member Participants with Peer Integration Care Services The change in acceptance by Medicaid Members of Peer Integrated Care Services Months 0, 3, 6, 9, 12, 15, 18, 21, 24
Primary Change in Total Cost of Care for Participating Members Change in cost trend for participating members. Pre-study vs. study period. Month 0, Month 24
Secondary Change in Emergency Room Visits by Participating Members Change in rate of Emergency Department utilization by participating members. Month 0, 6, 12,18,24
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