ABM for ACO Beneficiaries

NCT02137551 | Completed

• 1 other identifier: 012
• Study Type: interventional
• Target: 595
• Locations: 1 country
• Sites: 2

Brief Summary

The primary objective of the study is to evaluate how engaging ACO beneficiaries in the appointment based model for one year impacts medication adherence and healthcare costs compared to usual care.

Conditions

Medication Adherence

Keywords

adherence; healthcare costs; appointment based model; accountable care organization

Outcome Measures

Primary Outcomes (3)

• Medical costs

  Total medical costs will be collected at baseline for the year prior to enrollment and at the end of the one-year study period for the intervention year.

  Baseline (for the 1 year prior to the enrollment date), During the Patient Care period (approx. 1 year following enrollment)

• Pharmacy costs

  Pharmacy costs will be collected at baseline for the year prior to enrollment and at the end of the one-year study period for the intervention year.

  Baseline (at the time of enrollment), During the Patient Care period (approx. 1 year after enrollment)

• Medication adherence

  Proportion of days covered will be calculated to determine medication adherence. Data will be collected on a quarterly basis (every 3 months beginning at enrollment).

  At baseline for the one year prior to enrollment, During the 1 year patient care period

Secondary Outcomes (1)

• Identified Medication Related Problems

  During the Patient Care period (1 year from enrollment)

Study Arms (3)

ABM Intervention in FQHC

EXPERIMENTAL

Pharmacy technicians within El Rio will implement the ABM

Other: ABM

ABM Intervention in a Supermarket Pharmacy

EXPERIMENTAL

Pharmacists within Fry's will implement the ABM

Other: ABM

Usual care

NO INTERVENTION

Patients will refill prescriptions at their usual pharmacy in the customary way.

Interventions

ABM OTHER

The ABM involves synchronizing all medications to come due on the same say of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes.

Also known as: Appointment Based Model

ABM Intervention in FQHC; ABM Intervention in a Supermarket Pharmacy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Are beneficiaries of the partnering ACO;
• Are receiving medical care at El Rio and have been since before May 1, 2013;
• Are taking 2 or more medications that are refilled on 30, 60, or 90 day schedules;
• Speak English or Spanish;
• Are at least 18 years of age; and
• Are not institutionalized (i.e., residents of nursing homes, psychiatric institutions, or prisons).

You may not qualify if:

• Use of a legal authorized representative

Sponsors & Collaborators

• American Pharmacists Association Foundation: lead

Study Sites (2)

Fry's Pharmacy Care Center

Phoenix, Arizona, 85043, United States

Location

El Rio Community Health Center

Tucson, Arizona, 85745, United States

Location

MeSH Terms

Conditions

Medication Adherence

Condition Hierarchy (Ancestors)

Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Lindsay Kunkle, PharmD

  APhA

  PRINCIPAL INVESTIGATOR

• Benjamin Bluml, BPharm

  APhA Foundation

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 2, 2014
• First Posted: May 14, 2014
• Study Start: August 1, 2014
• Primary Completion: November 1, 2015
• Study Completion: February 1, 2016
• Last Updated: February 10, 2016

Record last verified: 2016-02

Locations

US (2)