Quality of Care Clinical Trial
Official title:
Care in the Comprehensive Care Physician (CCP) Program vs. Care in the Comprehensive Care Community and Culture Program (C4P) vs. Care in the Traditional Care
Verified date | May 2023 |
Source | University of Chicago |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This randomized trial is evaluating whether socioeconomically disadvantaged Medicare patients at increased risk of hospitalization experience fewer hospitalization if those patients are offered care in: 1) ACCT, where patients receive care from different physicians in the hospital and the clinic settings and have access to nurse and social worker care coordination services, 2) CCP where patients receive care from one physician in the inpatient and outpatient settings or 3) C4P which adds screening of unmet social needs, community health worker support and arts and culture programming to CCP. The study will determine how these programs affect patient activation and engagement in care, satisfaction with care, general health and mental health, and goal attainment.
Status | Recruiting |
Enrollment | 3000 |
Est. completion date | July 31, 2023 |
Est. primary completion date | July 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Must have Medicare Part A and Part B - Must have been hospitalized once in the past 2 years or be in emergency department at time recruitment is initiated Exclusion Criteria: - None |
Country | Name | City | State |
---|---|---|---|
United States | David Meltzer | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
University of Chicago | Patient-Centered Outcomes Research Institute |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Quarterly hospitalization rate | Number of hospitalizations per quarter | Through study completion, with a range of 1 to 4.5 years | |
Secondary | Quarterly hospitalization rate from all sources | Combines Medicare, Illinois State Department of Public Health (IDPH) hospitalization data, patient self report | Through study completion, with a range of 1 to 4.5 years | |
Secondary | Patient experience | Self reported Consumer assessment of Health Care Providers and Systems Survey (CAHPS) overall satisfaction with provider | Through study completion, with a range of 1 to 4.5 years | |
Secondary | Health Outcomes General Health | Patient-Reported Outcomes Measurement Information System (PROMIS) GLOBAL General Health Measure Single Item--In general, would you say your/patients health is: Excellent/very good/good/fair/poor/don't know/refused | Through study completion, with a range of 1 to 4.5 years | |
Secondary | Health Outcomes Mental Health | PROMIS GLOBAL Mental Health MeasurePROMIS GLOBAL General Health Measure Single Item--In general, how would you rate (your/PATIENT'S) mental health, including (your/PATIENT) mood and (your/PATIENT'S)ability to think: Excellent/very good/good/fair/poor/don't know/refused | Through study completion, with a range of 1 to 4.5 years | |
Secondary | Patient Activation Measure (PAM) | Patient Activation Measure (PAM) developed by Hibbard et al. Hibbard, J. H., Mahoney, E. R., Stockard, J., & Tusler, M. (2005). Development and Testing of a Short Form of the Patient Activation Measure. Health Services Research, 40(6 Pt 1), 1918-1930. http://doi.org/10.1111/j.1475-6773.2005.00438.x | Through study completion, with a range of 1 to 4.5 years | |
Secondary | Goal Attainment | Goal Attainment Scale weighted by The Schedule for the Evaluation of Individual Quality of Life (SEIQoL): A Direct Weighting procedure for Quality of Life Domains (SEIQoL-DW)-O'Boyle CA, McGee HM, Hickey A, Joyce CRB, Browne J, O'Malley K, et al. The Schedule for the Evaluation of Individual Quality of Life (SEIQoL): A Direct Weighting procedure for Quality of Life Domains (SEIQoL-DW) Administration Manual. Dublin: Royal College of Surgeons in Ireland. 1993;1-13.
Hickey AM, Bury G, O'Boyle CA, Bradley F, O'Kelly FD, Shannon W. A new short form individual quality of life measure (SEIQoL-DW): application in a cohort of individuals with HIV/AIDS. British Medical Journal. 1996;313(7048):29-33 Wettergren L, Kettis-Lindblad A, Sprangers M, Ring L. The use, feasibility and psychometric properties of an individualised quality-of-life instrument: a systematic review of the SEIQoL-DW. Qual Life Res. 2009;18:737-46. |
Through study completion, with a range of 1 to 4.5 years |
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