Wisconsin Evaluation of Emergency Department Care Coordination

University of Wisconsin (UW)

Status: Completed

Conditions: Emergency Department Visit

Treatments: Other: Intensive Care Coordination

Study type: Observational

Funder types: Other

Identifiers

NCT04550169

Protocol Version April 2020 (Other Identifier)

A538500 (Other Identifier)

SMPH/POP HEALTH SCI/POP HEALTH (Other Identifier)

MSN240705 (Other Grant/Funding Number)

2020-1211

Details and patient eligibility

About

The State of Wisconsin is now expanding its investment in care coordination models as an effort to reduce inappropriate hospital emergency department (ED) use, improve health outcomes, and reduce Medicaid expenditures. This effort begins with a pilot program to support emergency department care coordination in hospitals and health systems that apply and are selected to participate in the pilot program.

The Wisconsin Medicaid program seeks to understand whether this program achieves its intended goals and, specifically, whether the Medicaid payment for such care coordination services produces the intended program outcomes. Hospitals will select members that will receive care coordination services. In a quasi-experimental approach, the study team will compare members that do vs. do not receive the services will be used examine the effects of care coordination and referrals on total ED visits, primary-care treatable ED visits, non-emergent ED visits, and health care costs, as well as the specific effects of referring patients to providers who offer low-cost and after-hours care. To assess the importance of targeting, study team will conduct stratified analyses of vulnerable groups such as people with disabilities and individuals with specific clinical needs.

Enrollment: 3,405 patients

Sex: All

Ages: 18 to 64 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adults who are Medicaid enrolled
• Have had 5+ emergency department visits in the past year

Exclusion criteria

• Participants who are concurrently eligible for Medicare
• Children (individuals age <18 years).

Trial design

3,405 participants in 2 patient groups

Intensive Care Coordination

Description:

Intensive Care Coordination along with Standard of Care

Treatment:

Other: Intensive Care Coordination

Control

Description:

Standard of Care alone