One-4-ALL Initiative

Health Care Utilization Clinical Trial

Official title:

Transforming Healthcare in Post-Pandemic Recovery: Innovation in Process & Technology to Increase Patient Throughput While Reducing Clinician Burden and Addressing Health Disparities (One-4-ALL Initiative)

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05454969
• Other study ID #: 22-0995
• Status: Recruiting
• Phase: N/A
• Start date: September 1, 2023
• Est. completion date: July 30, 2024

Study information

• Verified date: December 2023
• Source: University of Colorado, Denver
• Contact: Jill Landsbaugh Kaar, PhD
• Phone: 17207773571
• Email: jill.kaar[@]cuanschutz.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aims to improve health outcomes of individuals and populations, enhance the patient experience, reduce the per capita cost of care, and ensure the well-being of our healthcare providers (quadruple aim). These goals are increasingly difficult to achieve, given the challenges of changes to workflow, staffing shortages, and increased costs brought on by the COVID-19 pandemic. Further, the pandemic brought to light the critical need to transform healthcare access for our racially and culturally minoritized and low-income families that have long been victims of health disparities, specifically with poorer health outcomes.

Description:

The overall objective is to successfully implement a patient app that will be used by families to 1) increase throughput for all patients, including minoritized, low-income, and low health literacy patients, and 2) reduce administrative burdens on providers. To evaluate this hypothesis, the following specific aims will be examined: Aim 1: Document modifiable factors that negatively and positively impact providers' ability to provide high-quality patient care in a post-pandemic healthcare system while addressing health disparities through implementation science. Aim 2: Create a "boarding pass' experience for providers and patients using technology (app) which allows patients and their families to fully prepare for their clinical visits and bridge care between home, primary care providers, and specialty care. Aim 3: Investigate multilevel contextual factors related to app implementation, to inform future strategies to promote scalability and sustainability of app in all specialties.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 100
• Est. completion date: July 30, 2024
• Est. primary completion date: July 30, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 99 Years

Eligibility

Inclusion Criteria:

• All guardians of patients and the providers (surgeons, doctors, nurses, etc) that serve these patients.

Exclusion Criteria:

• None.

Related Conditions & MeSH terms

• Caregiver Burden
• Health Care Utilization
• Literacy

Intervention

Behavioral:
• One-4-ALL Initiative
We can successfully implement a patient app that will be used by families to 1) increase throughput for all patients, including minoritized, low-income, and low health literacy patients, and 2) reduce administrative burdens on providers.
• Control
Patients will receive standard of care.

Locations

Country	Name	City	State
United States	Children's Hospital Colorado	Aurora	Colorado

Sponsors (1)

Lead Sponsor	Collaborator
University of Colorado, Denver

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Health care quality	Health care quality will be assessed using six domains; safety, effective, patient-centered, timely, efficient, and equitable. Likert scale 1-5, higher score is best.	post-intervention (12 weeks)
Primary	Provider satisfaction	Provider job satisfaction including level of burden and overall job satisfaction. Likert scale 1-5, higher score is best.; physical and mental health	post-intervention (12 weeks)
Primary	Patient satisfaction	Patient's satisfaction of the program tool. Likert scale 1-5, higher score is best.; literacy of the patient & their family, patient & family anxiety pre-surgery.	post-intervention (12 weeks)
Primary	Acceptability of program tool	Patient's ability to engage and understand the program tool. Likert scale 1-5, higher score is better.	post-intervention (12 weeks)