Clinical trial NCT02137551: ABM for ACO Beneficiaries
Official title: Appointment Based Model (ABM) for Accountable Care Organization (ACO) Beneficiaries
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Medication Adherence
Keywords: adherence
healthcare costs
appointment based model
accountable care organization
Lead sponsor: American Pharmacists Association Foundation
Sponsor class: OTHER
First posted: 2014-05-14
Enrollment: 595
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The primary objective of the study is to evaluate how engaging ACO beneficiaries in the appointment based model for one year impacts medication adherence and healthcare costs compared to usual care.

Detailed description: The American Pharmacists Association (APhA) Foundation has partnered with a federally qualified health center (FQHC), a supermarket community pharmacy, and an accountable care organization (ACO) to participate in this ABM for ACO Beneficiaries initiative. The FQHC, El Rio Community Health Center pharmacy, and supermarket pharmacy, Fry's Pharmacy, will serve as implementing pharmacy study sites and will implement the ABM for beneficiaries of the ACO who utilize their pharmacies for medication refill services. The ABM involves synchronizing all medications to come due on the same day of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes. The ACO will provide medical and claims data on enrolled subjects as well as a control group for the intervention population. The APhA Foundation will aggregate intervention, prescription fill, and economic data from the 3 partners in an effort to evaluate the impact of the ABM on healthcare costs and medication adherence. The APhA Foundation has an a priori intent to publish the project results.

Eligibility criteria: Inclusion Criteria: Individuals eligible to be enrolled in the study include those who:

* Are beneficiaries of the partnering ACO;
* Are receiving medical care at El Rio and have been since before May 1, 2013;
* Are taking 2 or more medications that are refilled on 30, 60, or 90 day schedules;
* Speak English or Spanish;
* Are at least 18 years of age; and
* Are not institutionalized (i.e., residents of nursing homes, psychiatric institutions, or prisons).

Exclusion Criteria:

* Use of a legal authorized representative

Primary outcomes:
measure: Medical costs
timeFrame: Baseline (for the 1 year prior to the enrollment date), During the Patient Care period (approx. 1 year following enrollment)
measure: Pharmacy costs
timeFrame: Baseline (at the time of enrollment), During the Patient Care period (approx. 1 year after enrollment)
measure: Medication adherence
timeFrame: At baseline for the one year prior to enrollment, During the 1 year patient care period
Secondary outcomes:
measure: Identified Medication Related Problems
timeFrame: During the Patient Care period (1 year from enrollment)
Other outcomes:
Locations:
city: Phoenix
country: United States
facility: Fry's Pharmacy Care Center
state: Arizona
city: Tucson
country: United States
facility: El Rio Community Health Center
state: Arizona
Study officials:
affiliation: APhA
name: Lindsay Kunkle, PharmD
role: PRINCIPAL_INVESTIGATOR
affiliation: APhA Foundation
name: Benjamin Bluml, BPharm
role: STUDY_DIRECTOR
References: