Evaluation of a Community Health Worker (CHW)-Led Program
1 other identifier
observational
198
1 country
1
Brief Summary
The investigators are comparing health care utilization claims data of Medicaid beneficiaries who participated in a CHW program led by three Medicaid health plans' salaried CHWs in the Cody Rouge neighborhood of Detroit, Michigan with eligible beneficiaries who were not invited to participate in the program but received usual health plan services.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Mar 2018
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2018
CompletedFirst Submitted
Initial submission to the registry
March 29, 2019
CompletedFirst Posted
Study publicly available on registry
April 23, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 2, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
October 2, 2020
CompletedOctober 14, 2020
October 1, 2020
2.6 years
March 29, 2019
October 13, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Emergency Department Visits
Number of Emergency Department visits in health plan claims data
12-month period after participant enrolls in the program
Hospitalizations
Number and length of stay of hospitalizations in health plan claims data
12-month period after participant enrolls in the program
Primary care visits
Number of primary care visits in health plan claims data
12-month period after participant enrolls in the program
Study Arms (2)
Community Health Worker
1. initial comprehensive health, behavioral, and social needs assessment; 2. development of an individualized 'action plan' to address identified needs; 3. linkage to necessary services and work with neighborhood-based health care and social services organization to address each individual's unique needs; and 4) provide follow-up support as needed.
Usual Health Plan Services
1\) receipt of other plan services besides the CHW program for which they are eligible.
Interventions
Assessment of behavioral, medical, and social needs, development of individual goals and action plan, follow-up to assist and work to ensure identified needs/goals are met. CHWs use their professional judgement to assess how long follow-up is required.
Eligibility Criteria
Persons who have been enrolled at least 12 months in one of three Medicaid health plans serving Detroit and who reside in zip codes corresponding to the Cody Rouge neighborhood of Detroit.
You may qualify if:
- Either have had more than 3 ED visits in the prior 12 months, or at least 1 ambulatory care-sensitive hospitalization in the prior 12 months
You may not qualify if:
- None if they meet above criteria.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Michiganlead
- Molina Health Care of Michigancollaborator
- Meridian Health Plan of Michigancollaborator
- Blue Cross Completecollaborator
- Detroit Department of Healthcollaborator
- Blue Cross Blue Shield of Michigan Foundationcollaborator
- Ralph Wilson Foundationcollaborator
Study Sites (1)
University of Michigan
Ann Arbor, Michigan, 48104, United States
Related Publications (2)
Heisler M, Lapidos A, Kieffer E, Henderson J, Guzman R, Cunmulaj J, Wolfe J, Meyer T, Ayanian JZ. Impact on Health Care Utilization and Costs of a Medicaid Community Health Worker Program in Detroit, 2018-2020: A Randomized Program Evaluation. Am J Public Health. 2022 May;112(5):766-775. doi: 10.2105/AJPH.2021.306700. Epub 2022 Mar 24.
PMID: 35324259DERIVEDHeisler M, Lapidos A, Henderson J, Guzman RM, Wolfe J, Meyer P, Law D, Kieffer EC, Ernst C, Djelaj V, Khaldun J, Ayanian JZ. Study protocol for a Community Health Worker (CHW)-led comprehensive neighborhood-focused program for medicaid enrollees in detroit. Contemp Clin Trials Commun. 2019 Sep 30;16:100456. doi: 10.1016/j.conctc.2019.100456. eCollection 2019 Dec.
PMID: 31646214DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
March 29, 2019
First Posted
April 23, 2019
Study Start
March 1, 2018
Primary Completion
October 2, 2020
Study Completion
October 2, 2020
Last Updated
October 14, 2020
Record last verified: 2020-10
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ANALYTIC CODE
- Time Frame
- The data will be made available once analyses are completed for as long as the data set is retained as per requirements. It will be made available upon request.
- Access Criteria
- Researchers or others who would like to double-check/replicate the analyses.
When the investigators have the de-identified data set with NO identifiers that will be used for analyses, the data can be shared once analyses are completed. The de-identified data set would be shared with any researchers who would like to duplicate the analyses.