Clinical trial NCT02411409: Impact of the CommunityRx Program on Health, Service Utilization and Costs
Official title: Impact of the CommunityRx Program on Health, Service Utilization and Costs
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Connecting Patients to Self-care Resources
Keywords: Health Information Technology (HIT)
self-care
Lead sponsor: University of Chicago
Sponsor class: OTHER
First posted: 2015-04-08
Enrollment: 113295
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The CommunityRx system generates patient-centered e-prescriptions for community services (HealtheRx) via an interface between the electronic health records (EHR) and a comprehensive community resource database. Based on a patient's diagnoses, a HealtheRx will be printed automatically at the end of the ambulatory care visit and will provide patients with a customized map and/or list of places in their community that provide health and social services as well as contact information for a local community health worker who can provide limited case management support. The CommunityRx program aims to promote: 1) better healthcare, 2) better health, and 3) lower cost. The purpose of this research is to systematically evaluate the impact of CommunityRx on health outcomes as well as health care service utilization and total cost of care for Medicaid, Medicare and other beneficiaries. The investigators hypothesize that beneficiaries who participate in the CommunityRx intervention will experience better healthcare, better health and lower total cost of care.


Eligibility criteria: Inclusion Criteria:

* Intervention group eligibility: Patients receiving ambulatory care at a clinical site connected to CommunityRx who live in the CommunityRx geography. Control group eligibility: Patients receiving care at a clinical site connected to CommunityRx who live outside the CommunityRx geography.

Exclusion Criteria:

* Patients receiving care at a clinical site not connected to CommunityRx.

Primary outcomes:
measure: Change in cost per beneficiary per year
timeFrame: Annual, up to 6 years
Secondary outcomes:
measure: Change in emergency department visit rate
timeFrame: Every 3 months, up to 72 months
measure: Change in HbA1c control
timeFrame: Every 3 months, up to 72 months
measure: Change in controlling high blood pressure
timeFrame: Every 3 months, up to 72 months
measure: Change in body mass index
timeFrame: Every 3 months, up to 72 months
measure: Change in inpatient admission rate
timeFrame: Every 3 months, up to 72 months
measure: Change in participant satisfaction (percentage of participants reporting they are satisfied with the HealtheRx)
timeFrame: Every 3 months, up to 60 months
measure: Change in provider satisfaction ( percent of providers reporting they are satisfied with the HealtheRx system)
timeFrame: Every 6 months, up to 60 months
measure: Change in rate of participant use of community-based service providers listed on HealtheRx
timeFrame: Every 3 months, up to 60 months
measure: Change in HealtheRx reach (proportion of the population in the geography who receive at least 1 HealtheRx)
timeFrame: Every 3 months, up to 60 months
measure: Change in HealtheRx delivery (providers communicate to patients about the HealtheRx)
timeFrame: Every 3 months, up to 60 months
measure: Change in HealtheRx usefulness (participant survey, the percent of program participants who report that their HealtheRx is useful)
timeFrame: Every 3 months, up to 60 months
measure: Change in HealtheRx Understandability (participant survey, the percent of program participants who report that their HealtheRx is easy to understand)
timeFrame: Every 3 months, up to 60 months
measure: Change in information sharing (participant survey, the percent of program participants who report that they shared information about the HealtheRx with someone else)
timeFrame: Every 3 months, up to 60 months
measure: Change in knowledge about resources (participant survey, the percent of program participants who report that they did not know about some of the places listed on their HealtheRx)
timeFrame: Every 3 months, up to 60 months
measure: Change in provider confidence in serving social needs (Provider satisfaction survey,)
timeFrame: Every 6 months, up to 60 months
Other outcomes:
measure: Change in technical problems with the CommunityRx system (e.g., number of times system does not work properly)
timeFrame: Every 3 months, up to 60 months
measure: Change in % of eligible patients receiving a HealtheRx
timeFrame: Every 3 months, up to 60 months
measure: Change in number of places mapped (community organizations, identified in the geographic region)
timeFrame: Every year, up to 6 years
measure: Change in number of CommunityRx reports delivered (Number of CommunityRx reports created and given to community organizations)
timeFrame: Every 3 months, up to 60 months
measure: Change in number of times a community health information specialist is contacted (CHIS call tracker)
timeFrame: Every 3 months, up to 60 months
measure: Change in referrals by service type (number of referrals, or number of times a service was listed on a HealtheRx)
timeFrame: Every 3 months, up to 60 months
measure: Change in services identified (number of services identified as available at community organizations0
timeFrame: Every 3 months, up to 60 months
Locations:
city: Chicago
country: United States
facility: University of Chicago
state: Illinois
Study officials:
affiliation: University of Chicago
name: Stacy Lindau, MD, MAPP
role: PRINCIPAL_INVESTIGATOR
References: