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Caring for the Whole Person

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ClinicalTrials.gov Identifier: NCT03034369
Recruitment Status : Unknown
Verified June 2017 by Providence Health & Services.
Recruitment status was:  Active, not recruiting
First Posted : January 27, 2017
Last Update Posted : June 15, 2017
Sponsor:
Collaborators:
Patient-Centered Outcomes Research Institute
Oregon Health and Science University
Cascadia Addiction Research and Education, LLC
Umpqua Community Health Center
Mosaic Medical
North Portland Clinic
Providence Medical Group
Rockwood Clinic
The Bend Clinic
Yamhill CCO
The Annex
Cascadia Gardiner Clinic
Umpqua Expanded Care Clinic
Bridges Clinic
Information provided by (Responsible Party):
Providence Health & Services

Brief Summary:
The goal of this study is to identify outcomes associated with Behavioral Health Integration (BHI) that matter to patients, to compare changes in outcome over time to measure the impact of different BHI models on different patients, and to create and maintain an Integration Learning Collaborative.

Condition or disease Intervention/treatment
Behavioral Health Other: Access to Care Other: Depression Screening Other: Patient-Provider Relationship Other: Patient-Clinic Interactions Other: Stigma Other: Provider Continuity Other: Symptom Severity Other: Diagnoses Other: Social support Other: Preventive Screening Other: Inpatient Hospitalization Utilization Other: Inpatient Readmissions Other: Post-Admission follow-up

Detailed Description:

Twelve safety net clinics have been selected to be a part of this study. The clinics vary on a BHI continuum level, which includes minimal collaboration, basic collaboration at a distance, basic collaboration on site, close collaboration (partially integrated) and close collaboration (fully integrated).

Twelve-thousand patients will be randomly selected from the 12 clinics to be invited to participate in the study. Patients who elect to participate will complete a survey at baseline to collect patient-reported outcomes and again twelve months later.

The Oregon All Providers All Claims (APAC) database will be accessed to analyze financial data regarding the patients at baseline and 12 months.

The hypothesis is that the degree of clinic BHI will predict patient outcomes.


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Study Type : Observational
Estimated Enrollment : 6000 participants
Observational Model: Ecologic or Community
Time Perspective: Prospective
Official Title: Caring for the Whole Person: A Patient-Centered Assessment of Integrated Care Models in Vulnerable Populations
Study Start Date : March 2015
Estimated Primary Completion Date : December 2017
Estimated Study Completion Date : December 2017

Group/Cohort Intervention/treatment
Safety Net Clinic Patients
A Cohort of patients in 12 different primary care clinics will be studied to measure how changes in different integration factors impacts the following patient reported outcomes at baseline and 12 months: Access to Care, Patient-Provider Relationship, Patient-Clinic Interactions, Stigma, Provider Continuity, Symptom Severity, Diagnoses, and Social Support. Health care claims data will be accessed to analyze Depression Screening, Preventive Screening, Inpatient Hospitalization Utilization, Inpatient Readmissions, and Post-Admission follow-up at baseline and 12 months.
Other: Access to Care
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with access to care.

Other: Depression Screening
Analysis of health care claims data for depression screenings at baseline and 12 months.

Other: Patient-Provider Relationship
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-provider relationship.

Other: Patient-Clinic Interactions
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-clinic interactions.

Other: Stigma
Patient reported outcome survey administered at baseline and 12 months to measure perceived stigma.

Other: Provider Continuity
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with provider continuity.

Other: Symptom Severity
Patient reported outcome survey administered at baseline and 12 months to measure symptom severity.

Other: Diagnoses
Patient reported outcome survey administered at baseline and 12 months to measure diagnoses.

Other: Social support
Patient reported outcome survey administered at baseline and 12 months to assess social support and outlets.

Other: Preventive Screening
Analysis of health care claims data for preventive screenings at baseline and 12 months.

Other: Inpatient Hospitalization Utilization
Analysis of health care claims data for Inpatient Hospitalization Utilization at baseline and 12 months.

Other: Inpatient Readmissions
Analysis of health care claims data for Inpatient Hospitalization Readmissions at baseline and 12 months.

Other: Post-Admission follow-up
Analysis of health care claims data for Post-Admission follow-up at baseline and 12 months.




Primary Outcome Measures :
  1. Change in patient reported outcomes [ Time Frame: 12 months ]
    Change in patient reported outcomes at baseline and 12 months

  2. Change in health care claims [ Time Frame: 12 months ]
    change in health care claims at baseline and 12 months



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Patients accessing care at safety net clinic in Oregon.
Criteria

Inclusion Criteria:

  • Age >= 18
  • Received care at a safety net care clinic in Oregon

Exclusion Criteria:

-


Information from the National Library of Medicine

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): NCT03034369


Locations
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United States, Oregon
Center for Outcomes Research and Education, Providence Health & Services
Portland, Oregon, United States, 97213
Sponsors and Collaborators
Providence Health & Services
Patient-Centered Outcomes Research Institute
Oregon Health and Science University
Cascadia Addiction Research and Education, LLC
Umpqua Community Health Center
Mosaic Medical
North Portland Clinic
Providence Medical Group
Rockwood Clinic
The Bend Clinic
Yamhill CCO
The Annex
Cascadia Gardiner Clinic
Umpqua Expanded Care Clinic
Bridges Clinic
Investigators
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Principal Investigator: Bill J. Wright, PhD Director, Center for Outcomes Evaluate and Education, Providence Health & Services

Additional Information:
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Responsible Party: Providence Health & Services
ClinicalTrials.gov Identifier: NCT03034369     History of Changes
Other Study ID Numbers: 14-247A
First Posted: January 27, 2017    Key Record Dates
Last Update Posted: June 15, 2017
Last Verified: June 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Providence Health & Services:
Integration
Primary Care
Behavioral Health
Health Care Reform
Medical Home
Accountable Care Organization