The Effects of Case Management in a Medicaid Managed Care Plan
Recruitment status was Recruiting
The purpose of this study is to evaluate whether or not case management by a social worker and nurse can decrease the number of emergency room visits, increase the number of primary care doctor visits, and increase quality of life of people in a Medicaid managed care plan.
|Study Design:||Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Supportive Care
|Official Title:||The Effects of Case Management in a Medicaid Managed Care Plan|
- The outcome measure for the number of emergency room visits will be calculated from the medical record counting the number of hospital emergency room visits; for access to primary physicians, the medical record will be reviewed as well.
- The outcomes for quality of life will be evaluated from the McGill Quality of Life Questionnaire.
|Study Start Date:||May 2006|
|Estimated Study Completion Date:||January 2008|
This study will assign participants based on Zip Code to one of two conditions: control and experimental. In the control group, participants will receive telephonic assessments at baseline, three months, and six months. These assessments will be conducted by a member of the Medical Center’s Department of Geriatrics under the supervision of the Principal Investigator. Participants in the experimental group will receive medical case management provided by a nurse and social worker in the homecare setting including an in-home assessment. Assessments will be conducted at baseline, three months, and six months during routine homecare visits. Dependent variables being measured include: access to primary care physicians, emergent hospitalizations/admissions, articulation of advance directives, and quality of life. Data will be collected through the participants’ medical claims and records to analyze the number of emergent hospitalizations/admissions, documentation of advance directives, and number of visits to primary care physicians. To measure participants’ quality of life, the Depression Self-Rating Scale and the Clinical Anxiety Scale will be utilized. Data will be compared between and within the groups via statistical analyses. The researcher will conduct pre-post comparisons of utilization and other database-derived outcomes for both groups, comparing the 12 months prior to and up to 20 months following enrollment.
|Contact: Russell E Hilliard, PhD, LCSWfirstname.lastname@example.org|
|Contact: Eliot Fishman, PhDemail@example.com|
|United States, New York|
|Metropolitan Jewish Health System||Recruiting|
|Brooklyn, New York, United States, 11220|
|Sub-Investigator: Eliot Fishman, PhD|
|Principal Investigator:||Barbara Paris, MD||Maimonides Medical Center|