Retrospective Data Analysis of VitalCare Targeted Population Management on Scott and White Chronically Ill Beneficiaries

Study Overview
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Brief Summary
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New payment methods such as Accountable Care Organization (ACO's) and medical homes facilitate are new models for providers to deliver cost effective, quality patient outcomes. Integrated Care Coaching (ICC) is a healthcare delivery model combining telephonic interventions with an intelligent information technology platform that offered validated protocols and patient outcomes tracking. Health Integrated, Inc. has developed a validated program of Integrated Care Coaching (ICC), which was branded as VitalCare, and implemented with over 7,000 members of the Scott and White Health Plan in Texas, would reduce healthcare costs/achieve a return on investment (ROI), improve clinical outcomes, and be satisfying for participants.

Detailed Description
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A prospective, pre-post historical control design trial with a concurrent control group cost/satisfaction analysis with a retrospective clinical study was undertaken with adult, Scott and White Health Plan (SWHP) patients with chronic illnesses. From 2007 to 2010, a total of 7,411 ICC and 10,148 control patients participated. Variables were costs, return on investment (ROI), iterative Patient Health Questionnaire (PHQ)9 scores, and satisfaction.

Official Title
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Retrospective Data Analysis of the Impact of Vital Care Targeted Population Management Upon a Matched Cohort of Scott and White Health Plan Beneficiaries

Conditions
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Chronic Illness

Intervention / Treatment
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* Behavioral: ICC (Integrated Care Coaching) Intervention Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years or older Having one or more of 21 chronic conditions, including those with depression and multiple chronic comorbidities. Exclusion Criteria: Presence of Major Cancer, HIV, or ESRD in either the baseline or measurement periods Claims in excess of $100,000 in either baseline or intervention period. Claims for long term care or hospice in either baseline or intervention period.

Ages Eligible for Study
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Minimum Age: 18 Years

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: ICC (Integrated Care Coaching)<br>Received evidence-based, protocol-driven integrated care coaching intervention to improve chronic illness health outcomes (clinical, financial). | Behavioral: ICC (Integrated Care Coaching) Intervention Group<br> <br> * Other names: Health Integrated Inc. Integrated Care Coaching (ICC);|
| Experimental: Control Group<br>Matched cohort by age and chronic illness diagnoses - no intervention | Behavioral: ICC (Integrated Care Coaching) Intervention Group<br> <br> * Other names: Health Integrated Inc. Integrated Care Coaching (ICC);|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Return of Investment and Cost of Medical Care | Primary outcomes were ROI and cost of medical care (including inpatient, outpatient, emergency room, office and other (ie, physical therapy). ICC participants and control group members had a minimum of 6 months to a maximum of 12 months measurement period. | 6 to 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Level of Depressive Symptoms per Interactive Patient Health Questionnaire (PHQ-9) scores | Secondary outcome was level of depressive symptoms per Interactive Patient Health Questionnaire (PHQ-9) scores. ICC participants and control group members had a minimum of 6 months to a maximum of 12 months measurement period. | 6 to 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Integrated Care Coaching, Chronic Care Coaching, Care Coaching