Improved Delivery of Cardiovascular Care Through Outreach Facilitation (IDOCC)
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.|
|ClinicalTrials.gov Identifier: NCT00574808|
Recruitment Status : Completed
First Posted : December 17, 2007
Last Update Posted : October 6, 2014
|Condition or disease||Intervention/treatment||Phase|
|Hypertension Dyslipidemia Diabetes Chronic Kidney Disease Cardiovascular Disease Stroke Transient Ischemic Attacks||Other: Outreach Facilitation implementing elements of the Chronic Care Model||Phase 1|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||194 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||Single (Outcomes Assessor)|
|Primary Purpose:||Health Services Research|
|Official Title:||Improved Delivery of Cardiovascular Preventive Care (IDOCC) Through Outreach Facilitation|
|Study Start Date :||April 2007|
|Actual Primary Completion Date :||February 2013|
|Actual Study Completion Date :||February 2013|
Outreach Facilitation implementing elements of the Chronic Care Model. The facilitators will provide hands on support to practices and help to implement tools and processes designed to incorporate evidence-based practice into the routine delivery of cardiovascular care. Specifically, they will a) assist with practice performance assessment, feedback, and consensus building towards goal setting, b) offer clinical, technical, organizational resources and practical advice, and c) provide encouragement to face and overcome the challenges of implementing system change.
Other: Outreach Facilitation implementing elements of the Chronic Care Model
An outreach facilitator helps the practice identify areas for improvement, set goals and targets, and agree on the processes needed to reach them in order to improve the care delivery within the practices. Each facilitator will be assigned up to 12 practice sites. The first year of program implementation will involve frequent (once every 3-4 weeks) visits to the practices. Afterwards, the intervention will move into a sustainability mode, during which the frequency of visits will decrease to one every 6-8 weeks during the second year, and one every 12-15 weeks during the third year and thereafter. After the first year of program implementation, each facilitator will be able to take on 12 new practices during the second year, while still being able to sustain contact with the previous 12 practices. Similarly, in the third year, another set of 12 practices will begin the "intense" phase of program implementation.
No Intervention: control
Baseline data before implementation of the program will serve as the control. Comparisons will be made between baseline and post-intervention within each divisions of primary care practices as well as between divisions (ie. baseline information from one division will serve as the control for another).
- Quality of care process index = ∑ of recommended services received by patient/ ∑ of the recommended services for which the patient was eligible [ Time Frame: 5 years ]
- Quality of care outcome index = ∑ of recommended targets reached / ∑ of the number of targets for which the patient is eligible based on the number of conditions suffered by the patient [ Time Frame: 5 years ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00574808
|Elisabeth Bruyere Health Centre|
|Ottawa, Ontario, Canada, K1N 5C4|
|Principal Investigator:||Clare E Liddy, MD, MSc||University of Ottawa|
|Principal Investigator:||William Hogg, MD, MSc||University of Ottawa|