Caring for the Whole Person

Providence Health & Services

Status

Unknown

Conditions

Behavioral Health

Treatments

Other: Preventive Screening

Other: Diagnoses

Other: Access to Care

Other: Stigma

Other: Patient-Provider Relationship

Other: Post-Admission follow-up

Other: Inpatient Hospitalization Utilization

Other: Provider Continuity

Other: Symptom Severity

Other: Inpatient Readmissions

Other: Depression Screening

Other: Social support

Other: Patient-Clinic Interactions

Study type

Observational

Funder types

Other

Identifiers

NCT03034369

14-247A

Details and patient eligibility

About

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.

Full 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.

Enrollment

6,000 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

Trial design

6,000 participants in 1 patient group

Safety Net Clinic Patients

Description:

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.

Treatment: