Chronic Illness Clinical Trial
Official title:
Dual Health Systems Users: Strategies to Implement Optimal Care Coordination
NCT number | NCT02386189 |
Other study ID # | SDR 14-392 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | March 2, 2015 |
Est. completion date | March 31, 2017 |
Verified date | August 2019 |
Source | VA Office of Research and Development |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is 1) to learn how VA patients can help share their health information between their VA providers and providers outside the VA and 2) if sharing this information is useful to providers and improves care received.
Status | Completed |
Enrollment | 63 |
Est. completion date | March 31, 2017 |
Est. primary completion date | March 1, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: VA Patient - Receives health care from VA and non-VA provider - Diagnosed with a chronic health condition - Prescribed 5 or more medications - Upcoming VA and non-VA appointments within the study time frame - Registered or willing to become registered with My HealtheVet - Access to a computer with internet, phone, and a printer. - English speaking VA or Non-VA Providers: provide care to a stuy participant Exclusion Criteria: - Previously shared health data with a provider via their My HealtheVet or local provider patient portal - No scheduled VA or non-VA appointments |
Country | Name | City | State |
---|---|---|---|
United States | Iowa City VA Health Care System, Iowa City, IA | Iowa City | Iowa |
Lead Sponsor | Collaborator |
---|---|
VA Office of Research and Development |
United States,
Haggerty JL, Roberge D, Freeman GK, Beaulieu C, Bréton M. Validation of a generic measure of continuity of care: when patients encounter several clinicians. Ann Fam Med. 2012 Sep-Oct;10(5):443-51. doi: 10.1370/afm.1378. — View Citation
Manski-Nankervis JA, Blackberry I, Young D, O'Neal D, Patterson E, Furler J. Relational coordination amongst health professionals involved in insulin initiation for people with type 2 diabetes in general practice: an exploratory survey. BMC Health Serv Res. 2014 Nov 1;14:515. doi: 10.1186/s12913-014-0515-3. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patient Perceived Continuity of Care From Multiple Providers- Management Continuity | Patient Perceived Continuity of Care was assessed using Haggerty's measure of the same title. Management continuity refers to the patient being able to identify one provider who is the main coordinator and assures all the links within the health care team. The possible range on this measure was between 5 and 40 and the analysis was conducted on the pre-post difference on Management Continuity, subtracting the baseline score from the post-intervention score. More positive score indicated greater perceived management continuity and greater improvement in perceived management continuity. | The time frame is from baseline assessment to 12 months post baseline during which at least one VA and one Community medical visit occurred. | |
Primary | Patient Perceived Continuity of Care From Multiple Clinicians - Informational Continuity | Patient Perceived Continuity of Care was assessed using Haggerty's measure of the same title. Informational Continuity refers to whether patients experienced communication failures between providers. The possible range on this measure was between 12 and 36. The analysis was conducted on the pre-post difference on Informational Continuity, subtracting the baseline score from the post-intervention score. For this measure a lower score and a decline between post intervention and baseline scores (or a negative value) indicates more positive outcomes. | Baseline to 12-month follow-up | |
Primary | Patient Perceived Continuity of Care From Multiple Clinicians- Role Continuity | Patient Perceived Continuity of Care was assessed using Haggerty's measure of the same title. Role Continuity refers to the role of all clinicians being clear to the patient and to the providers on the treatment team. The possible range on this measure was between 6 and 30, and the analysis was conducted on the pre-post difference on this measure. More positive score indicated greater perceived role clarity and, when comparing pre and post score, a more positive score indicated greater improvement in perceived role clarity. | Baseline to 12-month follow-up | |
Secondary | Number of Participants With Duplication of Laboratory Tests | Participants had at least one VA medical visit and one community medical visit. Medical records were obtained from both visits and compared. Patients were considered to have a laboratory duplication if the same labs were drawn at both visits and the two visits occurred within three months of each other. | Baseline assessment to 12 months post-baseline, where a laboratory duplication is only counted if the medical visits occurred within three months of each other. | |
Secondary | Proportion of Medication Concordance | All participants had at least one VA medical visit and one community medical visit. Medical records were obtained from both visits. Medication lists were obtained from both visits. A medication concordance metric (proportion) was calculated where the denominator was the total number of unique medications identified on both the VA medication list and the community provider medication list. The numerator was the total number of medications (including dose and frequency) that were concordant between the medication lists. This comparison did not include over the counter medications. | Time frame between two medical visits occuring within the one year study period | |
Secondary | Relational Coordination- VA Providers | Relational Coordination was assessed using Gittell's 7-item measure as described Relational coordination amongst health professionals involved in insulin initiation for people with type 2 diabetes in general practice: an exploratory survey. This was assessed by providers seeing patients enrolled in this study, and this outcome is based on VA providers assessment of Relational Coordination. The scale total score could range from 7 to 35 with higher scores indicating greater relational coordination. | Providers completed the coordination measure at the time of the medical visit which could occur at any point in the 12 month follow-up period. | |
Secondary | Relational Coordination Community Providers | Relational Coordination was assessed using Gittell's 7-item measure as described iRelational coordination amongst health professionals involved in insulin initiation for people with type 2 diabetes in general practice: an exploratory survey. The scale total score could range from 7 to 35 with higher scores indicating greater relational coordination. | Providers completed the coordination measure at the time of the medical visit which could occur at any point in the 12 month follow-up period. |
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