Care EcoSystem: Ochsner Health System

Ochsner Health System

Status: Completed

Conditions: Dementia

Treatments: Behavioral: Care EcoSystem

Study type: Observational

Funder types: Other

Identifiers

NCT03916718

2018241

Details and patient eligibility

About

1. To determine the feasibility and acceptability of the Care Ecosystem program in the Ochsner clinical setting.

2. To assess the effect of the Care Ecosystem program on health care cost and quality care quality as measured by primary outcome variables.

   • Adapted from the Care Ecosystem, memory.ucsf.edu/Care-Ecosystem

Enrollment: 290 patients

Sex: All

Ages: 55+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Male or female ≥55 years of age at baseline

• Probable dementia diagnosis as evidenced by one or more of the following criteria:

  • Dementia listed on medical record problem list as of January 1, 2015 or later, or, in the opinion of the referring provider has dementia
  • Prescribed with any of the following: donepezil, memantine, galantamine HBR, rivastigmine, or tartrate; or, in the opinion of the referring provider, could take such medication

• Lives in community

Exclusion criteria

• Documented history of Multiple Sclerosis, ALS, Traumatic Brain Injury, Huntington's Disease, Schizophrenia, Bipolar Disorder, or current Substance Abuse Disorder
• Lives in a nursing home or assisted living facility
• Unable to complete monthly telehealth or phone visits

Trial design

290 participants in 1 patient group

Dementia

Description:

The target population includes patients seen at Ochsner Clinic Foundation, \>=55 years old, diagnosed with dementia, and meeting other inclusion/exclusion criteria. this study will recruit subjects identified as high utilizers of the Ochsner System. This will be defined by \>= 2 ED visits, \>= 2 Hospitalizations, or some combination prior to baseline. We will co-variate by insurance plan.

Treatment:

Behavioral: Care EcoSystem