The Effects of Case Management in a Medicaid Managed Care Plan

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2006 by Metropolitan Jewish Health System.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
Metropolitan Jewish Health System
ClinicalTrials.gov Identifier:
NCT00385879
First received: October 9, 2006
Last updated: October 10, 2006
Last verified: October 2006
  Purpose

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.


Condition Intervention
Neoplasms
Heart Diseases
Adrenal Cortex Diseases
Behavioral: Case management

Study Type: Interventional
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

Resource links provided by NLM:


Further study details as provided by Metropolitan Jewish Health System:

Primary Outcome Measures:
  • 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.

Secondary Outcome Measures:
  • The outcomes for quality of life will be evaluated from the McGill Quality of Life Questionnaire.

Estimated Enrollment: 500
Study Start Date: May 2006
Estimated Study Completion Date: January 2008
Detailed Description:

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.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • participation in a Medicaid managed care plan
  • resident of identified zip codes in Brooklyn, NY
  • frequent hospitalizations and low frequency of primary doctor visits

Exclusion Criteria:

  • residents outside the catchment area
  • patients not being managed in a Medicaid managed care plan
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00385879

Contacts
Contact: Russell E Hilliard, PhD, LCSW 718-491-7214 rhilliar@mjhs.org
Contact: Eliot Fishman, PhD 718-491-7134 efishman@mjhs.org

Locations
United States, New York
Metropolitan Jewish Health System Recruiting
Brooklyn, New York, United States, 11220
Sub-Investigator: Eliot Fishman, PhD         
Sponsors and Collaborators
Metropolitan Jewish Health System
Investigators
Principal Investigator: Barbara Paris, MD Maimonides Medical Center
  More Information

Publications:
ClinicalTrials.gov Identifier: NCT00385879     History of Changes
Other Study ID Numbers: Health Plus at Home
Study First Received: October 9, 2006
Last Updated: October 10, 2006
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Adrenal Cortex Diseases
Neoplasms
Heart Diseases
Adrenal Gland Diseases
Endocrine System Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on April 20, 2014