Clinical trial NCT02133391: Accountable Care Organizations/ Public Health Collaborative
Official title: Agency for Healthcare Research and Quality R18: Accountable Care Organizations (ACO)/ Public Health Collaborative Preventive Care Delivery to Priority Populations
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Immunization Reminder System
Keywords: Accountable Care Organization
Comparative Effectiveness Research
Immunization/statistics & numerical data
Medicaid
Reminder Systems/economics
Reminder Systems/statistics & numerical data
Lead sponsor: University of Colorado, Denver
Sponsor class: OTHER
Collaborators: name: Agency for Healthcare Research and Quality (AHRQ)
First posted: 2014-05-08
Enrollment: 78354
Sex: ALL
Minimum age (years): 19
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This study focuses on implementing and evaluating an evidence-based collaborative method of increasing immunization rates among preschool children, adolescents and adults within an Accountable Care Organization-Public Health collaborative. The infrastructure we will create through this project will serve as the framework for future collaborative delivery of other preventive services.

Detailed description: The current project leverages newly formed Regional Care Collaborative Organizations (RCCO) in Colorado that are charged with providing comprehensive care for children and adults insured by Medicaid. With a new RCCO-public health collaborative we will implement a randomized controlled trial to test the effectiveness of 1) evidence-based collaborative centralized method of increasing immunization delivery using reminder/recall techniques versus 2) traditional practice-based reminder/recall techniques that are done by individual practices (not centrally) or usual care from their provider. These interventions have been previously developed by the study team in different clinical settings. The project will examine the collaborative centralized approach, implemented within the new RCCO-public health collaborative first among preschool children, the group in which it has been previously studied. We will then extend the method to new populations, including adolescents and adults within the RCCO and Denver Health (adults only), and will evaluate the effectiveness of the intervention in each population.

Eligibility criteria: Inclusion Criteria:

* Patients enrolled in Regional Care Collaborative Organizations (RCCOs) study practices in the regions covered by Colorado Access,
* Age 19-35 months,
* Age 11-17 years, or
* Age 18 years and older.
* Require an immunization according to Advisory Committee on Immunization Practices (ACIP) guidelines,
* Adult (18 and older) patients at 8 primary care sites who are enrolled in Denver Health and patients at 6 primary care RCCO study practices

Exclusion Criteria:

* Any child whose parents have requested removal from the immunization registry;
* Any adult who has requested removal from the immunization registry;
* Any child or adult with hypersensitivity to any component of one of the recommended vaccines;
* Any child or adult who has moved to a primary care provider other than one at the study practices.

Primary outcomes:
measure: Effectiveness of Vaccination Reminder/Recall
timeFrame: 2015-2017 (Year 2-4)
Secondary outcomes:
Other outcomes:
Locations:
city: Aurora
country: United States
facility: Children's Outcomes Research Program, University of Colorado Anschutz Medical Campus
state: Colorado
Study officials:
affiliation: University of Colorado School of Medicine, Children's Outcomes Research Program, Children's Hospital of Colorado
name: Allison Kempe, MD, MPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Hurley LP, Beaty B, Lockhart S, Gurfinkel D, Dickinson LM, Roth H, Kempe A. Randomized controlled trial of centralized vaccine reminder/recall to improve adult vaccination rates in an accountable care organization setting. Prev Med Rep. 2019 May 22;15:100893. doi: 10.1016/j.pmedr.2019.100893. eCollection 2019 Sep.
citation: Hurley LP, Beaty B, Lockhart S, Gurfinkel D, Breslin K, Dickinson M, Whittington MD, Roth H, Kempe A. RCT of Centralized Vaccine Reminder/Recall for Adults. Am J Prev Med. 2018 Aug;55(2):231-239. doi: 10.1016/j.amepre.2018.04.022. Epub 2018 Jun 15.