Status:
COMPLETED
Can Value Champions Reduce Inappropriate Prescribing for People With Dementia?
Lead Sponsor:
Kaiser Permanente
Collaborating Sponsors:
National Institute on Aging (NIA)
Brown University
Conditions:
Dementia
Med: Dementia
Eligibility:
All Genders
65+ years
Phase:
NA
Brief Summary
The primary objective is to assess the effectiveness of training a clinician to be a 'value champion' within clinical settings to decrease the use of three classes of potentially inappropriate prescri...
Detailed Description
Background on Condition, Disease, or Other Primary Study Focus: For people living with dementia (PLWD) the overuse of Potentially Inappropriate Medications (PIMs), those for which the potential for h...
Eligibility Criteria
Inclusion
- Inclusion Criteria - clinician practices:
- Clinical practices with 3 or more primary care providers (defined as a primary care physician (specialty code of 08 or 11), nurse practitioner (specialty code = 50) or physician's assistant (specialty code = 97), and
- Clinical practices with clinical encounters with 10 or more Medicare beneficiaries with Alzheimer's or Alzheimer's related dementia in the base years (2019-2020).
- Inclusion Criteria - Medicare beneficiaries:
- Seen by a clinician at a participating practice as evidenced by one or more evaluation and management claim,
- Continuous coverage in Medicare Parts A, B and D and no months of Part C (Medicare Advantage),
- Two or more claims with an International Statistical Classification of Diseases (ICD-10) diagnosis for Alzheimer's or Alzheimer's related dementia 30 days apart or 1 inpatient stay with a principal diagnosis of Alzheimer's.
- Exclusion Criteria- Medicare beneficiaries:
- Medicare beneficiaries with a diagnosis of metastatic cancer or
- Medicare beneficiaries enrolled in hospice any time in the 6 months before the start of the intervention
Exclusion
Key Trial Info
Start Date :
August 30 2023
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 31 2023
Estimated Enrollment :
3300 Patients enrolled
Trial Details
Trial ID
NCT05359679
Start Date
August 30 2023
End Date
October 31 2023
Last Update
May 18 2025
Active Locations (1)
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1
Kaiser Permanente Washington Health Research Institute
Seattle, Washington, United States, 98101