Caring for the Whole Person

NCT03034369 | Unknown

• 1 other identifier: 14-247A
• Study Type: observational
• Target: 6,000
• Locations: 1 country
• Sites: 1

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.

Conditions

Behavioral Health

Keywords

Integration; Primary Care; Behavioral Health; Health Care Reform; Medical Home; Accountable Care Organization

Outcome Measures

Primary Outcomes (2)

• Change in patient reported outcomes

  Change in patient reported outcomes at baseline and 12 months

  12 months

• Change in health care claims

  change in health care claims at baseline and 12 months

  12 months

Study Arms (1)

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; 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

Interventions

Access to Care OTHER

Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with access to care.

Safety Net Clinic Patients

Depression Screening OTHER

Analysis of health care claims data for depression screenings at baseline and 12 months.

Safety Net Clinic Patients

Patient-Provider Relationship OTHER

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

Safety Net Clinic Patients

Patient-Clinic Interactions OTHER

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

Safety Net Clinic Patients

Stigma OTHER

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

Safety Net Clinic Patients

Provider Continuity OTHER

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

Safety Net Clinic Patients

Symptom Severity OTHER

Patient reported outcome survey administered at baseline and 12 months to measure symptom severity.

Safety Net Clinic Patients

Diagnoses OTHER

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

Safety Net Clinic Patients

Social support OTHER

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

Safety Net Clinic Patients

Preventive Screening OTHER

Analysis of health care claims data for preventive screenings at baseline and 12 months.

Safety Net Clinic Patients

Inpatient Hospitalization Utilization OTHER

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

Safety Net Clinic Patients

Inpatient Readmissions OTHER

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

Safety Net Clinic Patients

Post-Admission follow-up OTHER

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

Safety Net Clinic Patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients accessing care at safety net clinic in Oregon.

You may qualify if:

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

Sponsors & Collaborators

• Providence Health & Services: lead
• Patient-Centered Outcomes Research Institute: collaborator
• Oregon Health and Science University: collaborator
• Cascadia Addiction Research and Education, LLC: collaborator
• Umpqua Community Health Center: collaborator
• Mosaic Medical: collaborator
• North Portland Clinic: collaborator
• Providence Medical Group: collaborator
• Rockwood Clinic: collaborator
• The Bend Clinic: collaborator
• Yamhill CCO: collaborator
• The Annex: collaborator
• Cascadia Gardiner Clinic: collaborator
• Umpqua Expanded Care Clinic: collaborator
• Bridges Clinic: collaborator

Study Sites (1)

Center for Outcomes Research and Education, Providence Health & Services

Portland, Oregon, 97213, United States

Location

Related Links

• Center for Outcomes Research and Education, Providence Health \& Services

MeSH Terms

Interventions

Health Services Accessibility

Intervention Hierarchy (Ancestors)

Delivery of Health Care; Patient Care Management; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Bill J. Wright, PhD

  Director, Center for Outcomes Evaluate and Education, Providence Health & Services

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 25, 2017
• First Posted: January 27, 2017
• Study Start: March 1, 2015
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2017
• Last Updated: June 15, 2017

Record last verified: 2017-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)