NCT02674698

Brief Summary

Objectives: The purpose of this proposal is to evaluate the impact of the CNH Dashboard implementation on the quality of VA Purchased CNH care relative to other CNH facilities, and to evaluate the quality of Veteran-specific care in purchased CNH facilities by transition and safety outcome measures derived from Veteran-specific CMS data. Methods: The investigators will evaluate the effect of the CNH Dashboard release in a randomized, stepped-wedge dissemination. This dissemination design allows us to determine the impact of the CNH Dashboard on the quality of purchased CNH facility more systematically than a single phase roll-out. In each of the 4 steps, The investigators will release the CNH Dashboard to a randomly selected set of VISNs. Dashboard release will be accompanied by education. Findings: The CNH Dashboard has actionable information to leaders in GEC at the local, regional, and national levels. Impact: When completed, this program will improve the quality of care Veterans receive in VA purchased CNH programs as demonstrated by improved selection of CNH facilities and Veteran-specific measures.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
18

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2016

Typical duration for not_applicable

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2016

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

February 2, 2016

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 4, 2016

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2018

Completed
Last Updated

October 4, 2016

Status Verified

October 1, 2016

Enrollment Period

2 years

First QC Date

February 2, 2016

Last Update Submit

October 3, 2016

Conditions

Nursing HomeVeteransFunctional ImpairmentQuality of Care

Outcome Measures

Primary Outcomes (1)

  • O/E ratio for CMS Nursing Home Compare Star Ranking for VA-Paid CNH Facilities relative to local market

    We will use the CMS NH Compare Star Ranking for VA-Paid facilities relative to the local market

    1 year

Study Arms (4)

VA Integrated Service Networks Group 1

OTHER

Access to the CNH Dashboard Step 1

Other: Access to the CNH Dashboard Step 1Other: Access to the CNH Dashboard Step 2Other: Access to the CNH Dashboard Step 3Other: Access to the CNH Dashboard Step 4

VA Integrated Service Networks Group 2

OTHER

Access to the CNH Dashboard Step 2

Other: Access to the CNH Dashboard Step 2Other: Access to the CNH Dashboard Step 3Other: Access to the CNH Dashboard Step 4

VA Integrated Service Networks Group 3

OTHER

Access to the CNH Dashboard Step 3

Other: Access to the CNH Dashboard Step 3Other: Access to the CNH Dashboard Step 4

VA Integrated Service Networks Group 4

OTHER

Access to the CNH Dashboard Step 4

Other: Access to the CNH Dashboard Step 4

Interventions

Access to the CNH Dashboard Step 1OTHER

VA Integrated Service Networks will be provided education on nursing home quality and access to the CNH Dashboard

Also known as: Step 1
VA Integrated Service Networks Group 1
Access to the CNH Dashboard Step 2OTHER

VA Integrated Service Networks will be provided education on nursing home quality and access to the CNH Dashboard

VA Integrated Service Networks Group 1VA Integrated Service Networks Group 2
Access to the CNH Dashboard Step 3OTHER

VA Integrated Service Networks will be provided education on nursing home quality and access to the CNH Dashboard

VA Integrated Service Networks Group 1VA Integrated Service Networks Group 2VA Integrated Service Networks Group 3
Access to the CNH Dashboard Step 4OTHER

VA Integrated Service Networks will be provided education on nursing home quality and access to the CNH Dashboard

VA Integrated Service Networks Group 1VA Integrated Service Networks Group 2VA Integrated Service Networks Group 3VA Integrated Service Networks Group 4

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • No individual patients will be randomized

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

SE 1-step Futurabond M

Study Officials

  • James L Rudolph, MD, SM

    Providence VA Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Sponsor Type
FED
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, COIN LTSS

Study Record Dates

First Submitted

February 2, 2016

First Posted

February 4, 2016

Study Start

February 1, 2016

Primary Completion

February 1, 2018

Study Completion

February 1, 2018

Last Updated

October 4, 2016

Record last verified: 2016-10

Data Sharing

IPD Sharing
Will not share

No data will be shared