Integrated Client Care Project Trial: Wound Care Evaluation

Study Overview
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Brief Summary
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This study will use a randomized control trial design to compare wound care clients who receive integrated care versus usual care in Community Care Access Centres (CCAC) in Ontario. Data will be collected by existing administrative databases and linked by the Institute for Clinical Evaluative Sciences (ICES). The researchers will analyze these databases and report findings.

Detailed Description
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The researchers are interested in finding out whether the intervention (integrated care) helps to improve patient outcomes. A randomized control trial of wound care clients in Ontario CCACs will show the effects of the intervention (integrated care) versus usual care clients. The researchers will also examine the financial system costs associated with providing integrated care to clients versus usual care. The researchers expect to answer the research question of whether there is difference in patient outcomes between integrated care versus usual care clients. The researchers also would like to formulate a response for whether there will be financial system cost difference between integrated care and usual care clients. The goal of this evaluation is to help decision-makers in the Ministry of Health and Long Term Care (MOHLTC), in the Community Care Access Centres (CCACs) and among provider organizations to improve the quality of care and patient outcomes for wound care clients, by evaluating innovations in the delivery of care.

Official Title
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Integrated Client Care Project Randomized Control Trial: Wound Care Evaluation

Conditions
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Wound

Intervention / Treatment
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* Other: integrated client care group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: receives wound care from Community Care Access Centre provider adults over age 18 in Ontario Exclusion Criteria: patients who do not receive wound care from Ontario Community Care Access Centres

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: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Diabetic Foot Ulcer Intervention<br> | Other: integrated client care group<br>* receives integrated client care for wound treatment<br>|
| No Intervention: Diabetic Foot Ulcer Usual Care<br> | |
| Experimental: Pionidal Sinus Ulcer Intervention<br> | Other: integrated client care group<br>* receives integrated client care for wound treatment<br>|
| No Intervention: Pionidal Sinus Ulcer Usual Care<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| percentage of patients whose wound heals within the outcomes benchmark | percentage of patients whose wound heals within the outcomes benchmark | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| time to wound healing outcomes | time to wound healing outcomes | 1 year | 
| total patient length of stay | total patient length of stay | at patient discharge, up to 365 days |