IT to Support Integration of Social Determinant of Health Services to Reduce Avoidable Emergency Department Visits
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|ClinicalTrials.gov Identifier: NCT04125433|
Recruitment Status : Unknown
Verified October 2019 by Northern New York Rural Behavioral Health Institute.
Recruitment status was: Not yet recruiting
First Posted : October 14, 2019
Last Update Posted : October 14, 2019
|Condition or disease||Intervention/treatment||Phase|
|Mental Health Issue Substance Use Disorders||Behavioral: Peer Integrated Care Services||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||400 participants|
|Intervention Model:||Single Group Assignment|
|Intervention Model Description:||In this study a Medicaid Managed Care Plan will identify up to 400 plan members who have visited an emergency department greater than 6 time in a 12-month period. These individuals will receive enhanced integrated peer care services and will be tracked across health and social service venues using a single IT platform. This study will examine the impact of this intervention on total cost of care.|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||Use of Information Technology to Support Integration of Social Determinant of Health Services to Reduce Avoidable Emergency Department Visits|
|Estimated Study Start Date :||August 1, 2020|
|Estimated Primary Completion Date :||June 30, 2022|
|Estimated Study Completion Date :||August 30, 2022|
Experimental: Medicaid Emergency Department High Utilizers
This Arm will include the following individuals
Behavioral: Peer Integrated Care Services
The project employs a two level intervention to include Peer Support Specialist (PSS) and Community Health Advocate (CHA). Contact and engagement with participating members will be through both direct intervention in the emergency department as well as in the community for prevention visits and follow up. Peers and Community Health Advocates will address Behavioral and Social Determinants of Health (SDoH) concerns through a coordinated intervention supported by a common IT Medicaid member tracking platform. This research project will determine the feasibility of deploying a single shared IT platform that will include referral, appointment completion, and intervention outcome data. Project staff will develop a relationship with the members improving member access and engagement with community-based services. The project will determine the impact on total cost of care through redirecting study participants to community resources rather than return visits to the emergency department.
- Change in Adoption and Use of IT Platform [ Time Frame: Months 6, 12, 18, 24 ]Change in Number of Participating Agencies That Contribute Data to the IT System
- Change in Engagement of Medicaid Member Participants with Peer Integration Care Services [ Time Frame: Months 0, 3, 6, 9, 12, 15, 18, 21, 24 ]The change in acceptance by Medicaid Members of Peer Integrated Care Services
- Change in Total Cost of Care for Participating Members [ Time Frame: Month 0, Month 24 ]Change in cost trend for participating members. Pre-study vs. study period.
- Change in Emergency Room Visits by Participating Members [ Time Frame: Month 0, 6, 12,18,24 ]Change in rate of Emergency Department utilization by participating members.
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): NCT04125433
|Contact: Barry Brogan, MAPPfirstname.lastname@example.org|
|Contact: Robert Cawley, BBAemail@example.com|
|Principal Investigator:||Robert Cawley, BBA||Northern NY Rural Behavioral Health Institute|