Coordinated HEalthcare for Complex Kids

NCT04057521 | Completed

• 1 other identifier: 2014-0738
• Study Type: interventional
• Target: 6,259
• Locations: 0 countries
• Sites: N/A

Brief Summary

The University of Illinois Health and Health Sciences System (UI Health) developed an integrated care management quality improvement model designed to provide comprehensive care coordination for Medicaid insured minority children and young adults with chronic health conditions living in Chicago. This program, called CHECK (Coordinated HEalthcare for Complex Kids), targeted children and young adults with chronic disease.

Conditions

Asthma; Diabetes Mellitus; Sickle Cell Disease; Premature Birth

Keywords

care coordination; Children; Young adults; Chronic disease

Outcome Measures

Primary Outcomes (3)

• Annual inpatient healthcare utilization per 1000 patient years

  Number of inpatient hospitalizations/1000 patient years obtained from the Illinois Medicaid paid claims for CHECK participants using the Care Coordination Claims Data (CCCD) provided by the Illinois Department of Healthcare and Family Services (HFS).Claims for the same patient identifier with overlapping service dates were considered one hospitalization. Due to the fact that professional service claims may be submitted independent from facility claims, those claims with the same patient identification number, national provider ID (NPI), and service date were considered the same event to avoid duplication.

  Three years

• Annual emergency room healthcare utilization per 1000 patient years

  Number of emergency room visits/1000 patient years obtained from the Illinois Medicaid paid claims for CHECK participants using the Care Coordination Claims Data (CCCD) provided by the Illinois Department of Healthcare and Family Services (HFS). The number of inpatient hospitalizations per patient were identified using inpatient facility claims. The number of ED visits per patient were identified from outpatient facility claims or professional claims with revenue codes indicating an ED place of service or Current Procedural Terminology (CPT) codes for emergency services. Due to the fact that professional service claims may be submitted independent from facility claims, those claims with the same patient identification number, national provider ID (NPI), and service date were considered the same event to avoid duplication.

  Three years

• Annual outpatient visit healthcare utilization per patient per 1000 patient years

  Number of outpatient visits/1000 patient years obtained from the Illinois Medicaid paid claims for CHECK participants using the Care Coordination Claims Data (CCCD) provided by the Illinois Department of Healthcare and Family Services (HFS).Outpatient visits were defined as outpatient facility claims or professional service claims with evaluation and management CPT codes for office visits (excluding observation or outpatient surgery).Due to the fact that professional service claims may be submitted independent from facility claims, those claims with the same patient identification number, national provider ID (NPI), and service date were considered the same event to avoid duplication.

  Three years

Secondary Outcomes (6)

• Annual inpatient healthcare expenditures per patient

  Three years

• Annual emergency room healthcare expenditures per patient

  Three years

• Annual outpatient healthcare expenditures per patient

  Three years

• Annual prescription healthcare expenditures per patient

  Three years

• Annual "other" healthcare expenditures per patient

  Three years

Study Arms (2)

CHECK Program

EXPERIMENTAL

Participants were offered enrollment into CHECK care coordination services.

Other: Care Coordination

Comparison Group

ACTIVE COMPARATOR

Participants were not offered enrollment into CHECK.

Other: Care Coordination

Interventions

Care Coordination OTHER

Comprehensive care coordination.

Also known as: Demonstration project

CHECK Program; Comparison Group

Eligibility Criteria

• Age: Up to 26 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Age 0-25 years;
• Documentation of asthma,
• Diabetes mellitus (type 1 or 2), sickle cell disease,
• Seizure disorder or
• Prematurity; 3)
• Enrolled in Medicaid; and
• Ride in Cook County, Illinois.

You may not qualify if:

• None

Sponsors & Collaborators

• University of Illinois at Chicago: lead
• Centers for Medicare and Medicaid Services: collaborator

Related Publications (3)

• Glassgow AE, Martin MA, Caskey R, Bansa M, Gerges M, Johnson M, Marko M, Perry-Bell K, Risser HJ, Smith PJ, Van Voorhees B. An innovative health-care delivery model for children with medical complexity. J Child Health Care. 2017 Sep;21(3):263-272. doi: 10.1177/1367493517712063. Epub 2017 Jun 5.

  PMID: 29119824 BACKGROUND

• Bansa M, Glassgow AE, Martin M, Caskey R, Paulson A, Minier M, Roper P, Mitacek R, Wilder J, Van Voorhees B. Development of a Community-Based Medical Neighborhood for Children with Chronic Conditions. Prog Community Health Partnersh. 2019;13(1):83-95. doi: 10.1353/cpr.2019.0011.

  PMID: 30956250 BACKGROUND

• Caskey R, Moran K, Touchette D, Martin M, Munoz G, Kanabar P, Van Voorhees B. Effect of Comprehensive Care Coordination on Medicaid Expenditures Compared With Usual Care Among Children and Youth With Chronic Disease: A Randomized Clinical Trial. JAMA Netw Open. 2019 Oct 2;2(10):e1912604. doi: 10.1001/jamanetworkopen.2019.12604.

  PMID: 31584682 DERIVED

MeSH Terms

Conditions

Asthma; Diabetes Mellitus; Anemia, Sickle Cell; Premature Birth; Chronic Disease

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Anemia, Hemolytic, Congenital; Anemia, Hemolytic; Anemia; Hematologic Diseases; Hemic and Lymphatic Diseases; Hemoglobinopathies; Genetic Diseases, Inborn; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Obstetric Labor, Premature; Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Benjamin VanVoorhees, MD

  University of Illinois at Chicago

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Pediatrics

Model Details: For the purpose of program evaluation; 6,259 participants who met eligibility criteria for CHECK were randomized. These participants had no previous exposure to CHECK and were randomized to either enrollment into the CHECK program or to usual care (comparison group). Purposive randomization to CHECK or usual care by age, disease and risk level was conducted by Mathmatica.

Study Record Dates

• First Submitted: August 9, 2019
• First Posted: August 15, 2019
• Study Start: April 1, 2016
• Primary Completion: August 31, 2018
• Study Completion: August 31, 2018
• Last Updated: August 15, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share