NCT03034369

Caring for the Whole Person

Caring for the Whole Person: A Patient-Centered Assessment of Integrated Care Models in Vulnerable Populations

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 6,000 (estimated)
• Sponsor: Providence Health & Services · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

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.

Detailed description

Twelve safety net clinics have been selected to be a part of this study. The clinics vary on a BHI continuum level, which includes minimal collaboration, basic collaboration at a distance, basic collaboration on site, close collaboration (partially integrated) and close collaboration (fully integrated). Twelve-thousand patients will be randomly selected from the 12 clinics to be invited to participate in the study. Patients who elect to participate will complete a survey at baseline to collect patient-reported outcomes and again twelve months later. The Oregon All Providers All Claims (APAC) database will be accessed to analyze financial data regarding the patients at baseline and 12 months. The hypothesis is that the degree of clinic BHI will predict patient outcomes.

Conditions

• Behavioral Health

Interventions

Type	Name	Description
OTHER	Access to Care	Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with access to care.
OTHER	Depression Screening	Analysis of health care claims data for depression screenings at baseline and 12 months.
OTHER	Patient-Provider Relationship	Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-provider relationship.
OTHER	Patient-Clinic Interactions	Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-clinic interactions.
OTHER	Stigma	Patient reported outcome survey administered at baseline and 12 months to measure perceived stigma.
OTHER	Provider Continuity	Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with provider continuity.
OTHER	Symptom Severity	Patient reported outcome survey administered at baseline and 12 months to measure symptom severity.
OTHER	Diagnoses	Patient reported outcome survey administered at baseline and 12 months to measure diagnoses.
OTHER	Social support	Patient reported outcome survey administered at baseline and 12 months to assess social support and outlets.
OTHER	Preventive Screening	Analysis of health care claims data for preventive screenings at baseline and 12 months.
OTHER	Inpatient Hospitalization Utilization	Analysis of health care claims data for Inpatient Hospitalization Utilization at baseline and 12 months.
OTHER	Inpatient Readmissions	Analysis of health care claims data for Inpatient Hospitalization Readmissions at baseline and 12 months.
OTHER	Post-Admission follow-up	Analysis of health care claims data for Post-Admission follow-up at baseline and 12 months.

Timeline

• Start date: 2015-03-01
• Primary completion: 2017-12-01
• Completion: 2017-12-01
• First posted: 2017-01-27
• Last updated: 2017-06-15

Locations

1 site across 1 country: United States