Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes

Study Overview
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Brief Summary
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Project CONNECT (Community-based Organizations Neighborhood Network: Enhancing Capacity Together) is a randomized controlled trial that involves 22 community-based organizations (CBOs) located in Baltimore, MD. Half of these organizations were randomly assigned to the intervention group using a constrained cluster randomization process. The remaining 11 are a part of the control intervention group. The intervention is a co-developed set of IT tools hypothesized to improve the connections among intervention CBOs, Johns Hopkins health care facilities and CBO clients.

Detailed Description
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see above

Official Title
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Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes

Conditions
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Diabetes, Cardiovascular Disease, Substance Abuse Disorder, Mental Health Disorder

Intervention / Treatment
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* Other: Co-developed IT intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Community Based Organization; 501-C3 status; Located within zip codes surrounding Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center; Provides direct services to clients Exclusion Criteria: Part of Johns Hopkins Medicine or Baltimore City Agency
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention CBOs<br>Will receive co-developed IT intervention developed together with intervention group community based members. Set of primarily web based tools to improve connection with clients, Johns Hopkins Medicine and one another, referrals, and volunteer services. | Other: Co-developed IT intervention<br>* The IT-based intervention is being co-developed with the community based organizations in the intervention group, and comprises tools to improve referral and tracking of clients, use of volunteers, and direct communication with hospital staff members<br>* Other names: Healthify;|
| No Intervention: Control CBOs<br>Community Based Organizations that are being followed for data collection only for the period of one year | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Emergency Department visits + hospital days | Number of Emergency Department Visits + Number of Hospital Days in the past 6 months for patients enrolled in the Johns Hopkins Community Partnership | Up to 1 year | 
| Change in number of clients seen per month | Change in median number of clients seen by Community Based Organizations per month | September 2014 - September 2015 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Community Based Organization, Reverse Innovation, Social Services, Referral, Chronic disease