Outcomes From an Asthma Disease Management Program

The recruitment status of this study is unknown because the information has not been verified recently.
Verified December 2008 by Children's Mercy Hospital Kansas City.
Recruitment status was  Active, not recruiting
Sponsor:
Collaborator:
Robert Wood Johnson Foundation
Information provided by:
Children's Mercy Hospital Kansas City
ClinicalTrials.gov Identifier:
NCT00137722
First received: August 29, 2005
Last updated: December 29, 2008
Last verified: December 2008
  Purpose

Disease management is used to manage patients who have asthma and who are enrolled in a managed care health plan. To understand the effect of disease management on asthma severity and utilization, the investigators at Children's Mercy Hospitals and Clinics, will review data from a Medicaid Health Maintenance Organization (HMO) to determine the number of health plan members with different asthma severities and what their outcomes are. This will help us to improve the service provided to these patients. The investigators wish to publish this so that other health plans can benefit from the investigators experience.


Condition Intervention
Asthma
Behavioral: Education of providers and their staff
Behavioral: Case management
Behavioral: Payment for desired behaviors

Study Type: Observational
Study Design: Time Perspective: Retrospective
Official Title: Identification of Outcomes From an Asthma Disease Management Program

Resource links provided by NLM:


Further study details as provided by Children's Mercy Hospital Kansas City:

Study Start Date: January 2000
Estimated Study Completion Date: August 2005
Detailed Description:

Disease management is used to manage patients who have asthma and who are enrolled in a managed care health plan. To understand the effect of disease management on asthma severity and utilization, we will review data from a Medicaid HMO to determine the number of health plan members with different asthma severities and what their outcomes are. This will help us to improve the service provided to these patients.

Data on subjects already exists in the Health Management database. We will use data that has been collected between January 1, 2000 and August 18, 2005. We will use a convenience sample consisting of available subjects meeting the program criteria. The total FHP database includes approximately 50,000 members from which approximately 6,000 have been identified as having asthma.

We will create a research database that will not contain any patient-specific data. Instead, an intermediate workstation will be programmed to query the health management database and send the resulting aggregated and de-identified data to the research database for analysis on another workstation. The research database will never contain any patient identifiers nor will it contain individual patient data. It only will contain aggregated data provided by the intermediate query workstation.

Here is a complete list of variables that will be housed in the research database for subsequent analysis:

Categorical variables: Asthma severity (intermittent, mild, moderate or severe persistent), Provider office, Quarter when seen, Medication type (controller or reliever), Age category (0-4, 5-9, 10-17, >17years), active status (active or inactive), Location (ER, Inpatient, Routine visit), Case managed (yes, no), Gender, Psychosocial issues, Diagnosis (asthma, not asthma)

Continuous variables: Cost of care, Number of visits, Number of prescriptions, Number of members in the above categories, Mean Quality of life

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Health plan members who have undergone disease management and who have a diagnosis of asthma (ICD9 code of 493.xx)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00137722

Locations
United States, Missouri
Children's Mercy Hospitals & Clinics
Kansas City, Missouri, United States, 64108
Sponsors and Collaborators
Children's Mercy Hospital Kansas City
Robert Wood Johnson Foundation
Investigators
Principal Investigator: Jay M Portnoy, MD Children's Mercy Hospitals & Clinics
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00137722     History of Changes
Other Study ID Numbers: 05 08-110X
Study First Received: August 29, 2005
Last Updated: December 29, 2008
Health Authority: United States: Institutional Review Board

Keywords provided by Children's Mercy Hospital Kansas City:
Asthma
Disease Management
Outcomes
Utilization

Additional relevant MeSH terms:
Asthma
Bronchial Diseases
Respiratory Tract Diseases
Lung Diseases, Obstructive
Lung Diseases
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Hypersensitivity
Immune System Diseases

ClinicalTrials.gov processed this record on April 22, 2014