Stroke Clinical Trial
Official title:
Improving How Older Adults at Risk for Cardiovascular Outcomes Are Selected for Care Coordination
Verified date | April 2024 |
Source | Weill Medical College of Cornell University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This pragmatic clinical trial embedded in an accountable care organization will determine the comparative effectiveness of two approaches for assigning care coordinators to older adults at risk for cardiovascular outcomes. The hypothesis is that assigning care coordinators to older adults based on perceived need will be more effective at preventing emergency department visits and hospitalizations compared to usual care.
Status | Active, not recruiting |
Enrollment | 400 |
Est. completion date | September 2024 |
Est. primary completion date | June 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility | Inclusion Criteria: - Medicare beneficiaries 65 years and older, - Attributed to the NewYork Quality Care accountable care organization, - Are community-dwelling, - Have cardiovascular disease or 1 or more cardiovascular risk factors, and - Had highly fragmented ambulatory care in the prior year (defined as a reversed Bice-Boxerman Index greater than or equal to 0.85) Exclusion Criteria: - Those who reside in long-term care or nursing home facilities (based on addresses in Medicare claims) - Enrolled in home hospice - Dementia (as measured in claims using the Bynum Standard 1-year definition) |
Country | Name | City | State |
---|---|---|---|
United States | New York Presbyterian Hospital - Weill Cornell Medicine | New York | New York |
Lead Sponsor | Collaborator |
---|---|
Weill Medical College of Cornell University | Agency for Healthcare Research and Quality (AHRQ) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of emergency department visits or hospital admissions | Occurrence of an emergency department visit or hospital admission, as measured in Medicare claims | Over 12 months (beginning 1 month after the start of care coordination) | |
Secondary | Acceptability, as measured by change in the number of self-reported problems with care coordination | Change in the number of self-reported problems with care coordination at 1 month after the start of care coordination compared to baseline | Baseline; 1 month | |
Secondary | Appropriateness, as measured by the number of care coordination activities in each group, listed by type | The number of care coordination activities in each group (e.g., facilitating provider-provider communication, arranging transportation, etc.) | Up to 1 year | |
Secondary | Fidelity, as measured by the percent of eligible individuals who receive care coordination services | The percent of eligible individuals who receive care coordination services | Up to 1 year | |
Secondary | Efficiency, as measured by the total number of care-coordinator hours used | The total number of care-coordinator hours used in each study group | Up to 1 year |
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