This site became the new on June 19th. Learn more.
Show more Menu IMPORTANT: Listing of a study on this site does not reflect endorsement by the National Institutes of Health. Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu IMPORTANT: Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu
Give us feedback

The Effects of Case Management in a Medicaid Managed Care Plan

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified October 2006 by Metropolitan Jewish Health System.
Recruitment status was:  Recruiting
Information provided by:
Metropolitan Jewish Health System Identifier:
First received: October 9, 2006
Last updated: October 10, 2006
Last verified: October 2006
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
Intervention Model: Crossover Assignment
Masking: None (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.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00385879

Contact: Russell E Hilliard, PhD, LCSW 718-491-7214
Contact: Eliot Fishman, PhD 718-491-7134

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
Principal Investigator: Barbara Paris, MD Maimonides Medical Center
  More Information

Publications: Identifier: NCT00385879     History of Changes
Other Study ID Numbers: Health Plus at Home
Study First Received: October 9, 2006
Last Updated: October 10, 2006

Additional relevant MeSH terms:
Heart Diseases
Adrenal Cortex Diseases
Cardiovascular Diseases
Adrenal Gland Diseases
Endocrine System Diseases processed this record on August 17, 2017