Enhancing Complex Care Through an Integrated Care Coordination Information System

Care Management Plus

Status and phase: Completed; Phase 3

Conditions: Nurse Based Care Management; Health Information Technology

Treatments: Other: Data collection; Other: Data Collection

Study type: Interventional

Funder types: Other

Identifiers

NCT01890603

HS17832

Details and patient eligibility

About

Cluster randomized controlled trial comparing care coordination incentives to pay for performance (quality measure) incentives in clinics on utilization, cost, quality, and patient experience.

Enrollment: 60,000 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Six Clinics participating whom Care Management Plus team has worked with before
• Patients belonging to one of these six clinics
• Picked based on an algorithm designed to identify high risk patients.
• Clinic will review potential patients list and issue a survey with consent form

Exclusion criteria

• Younger than 18
• Older than 90

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60,000 participants in 2 patient groups

Care Coordination Arm

Experimental group

Treatment:

Other: Data collection

Quality Measure Improvement

Active Comparator group

Treatment:

Other: Data Collection