Status:

UNKNOWN

The Impact of Patient Complexity on Healthcare Utilization

Lead Sponsor:

OCHIN, Inc.

Collaborating Sponsors:

University of Florida

Conditions:

Primary Care Quality Metrics

Well Child Visits in First 15 Months of Life NQF 1392

Eligibility:

All Genders

Brief Summary

Healthcare providers are routinely being assessed for metrics designed to assess the quality of the care they deliver. There is growing consensus that these measurements, which typically assess the pe...

Detailed Description

The analysis will be conducted in 2 stages. In the first stage, indicators of social complexity (as assessed by characteristics of the patients' geocoded addresses) will be tested for significant asso...

Eligibility Criteria

Inclusion

  • Inclusion criteria for clinics: Clinics must be a clinic that offers Primary Care (Family Medicine Clinics, Pediatrics Clinics, General Practice Clinics, Internal Medicine clinics that are not limited to a subspecialty focus, and multi-specialty clinics that include primary care providers as part of a comprehensive care team.) Clinics must have implemented their EHR by 1/1/2014.
  • Inclusion criteria for patients: EHR Patients must be established patients within a health care system: at least one ambulatory visit to an included clinic in 2015 and at least 1 visit to a primary care clinic within the same health system prior to that visit.
  • Inclusion criteria for patients for Medicaid based Outcomes: Patient must have been continuously covered by Medicaid in 2015 and have had at least 1 visit billed as an office visit in 2015 with a provider identified as a primary care provider and at least 1 prior claim billed to the same provider. Patients must meet the age/condition criteria for the assessment of at least 1 secondary outcome.
  • Exclusion Criteria:
  • Exclusion criteria for patients: Patients with no geocoded address on file will be excluded from the analysis.
  • Exclusion criteria for patients for Medicaid based Outcomes: Patient with Medicaid coverage gaps of \>45 days will be excluded from theses analyses. Exclusion criteria for providers: Providers with \<20 patients in any Quality metric denominator.

Exclusion

    Key Trial Info

    Start Date :

    January 15 2017

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 1 2018

    Estimated Enrollment :

    200000 Patients enrolled

    Trial Details

    Trial ID

    NCT03327896

    Start Date

    January 15 2017

    End Date

    August 1 2018

    Last Update

    November 1 2017

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    The Impact of Patient Complexity on Healthcare Utilization | DecenTrialz