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New payment methods such as Accountable Care Organization (ACO's) and medical homes facilitate are new models for providers to deliver cost effective, quality patient outcomes. Integrated Care Coaching (ICC) is a healthcare delivery model combining telephonic interventions with an intelligent information technology platform that offered validated protocols and patient outcomes tracking. Health Integrated, Inc. has developed a validated program of Integrated Care Coaching (ICC), which was branded as "VitalCare", and implemented with over 7,000 members of the Scott and White Health Plan in Texas, would reduce healthcare costs/achieve a return on investment (ROI), improve clinical outcomes, and be satisfying for participants.
A prospective, pre-post historical control design trial with a concurrent control group cost/satisfaction analysis with a retrospective clinical study was undertaken with adult, Scott and White Health Plan (SWHP) patients with chronic illnesses. From 2007 to 2010, a total of 7,411 ICC and 10,148 control patients participated. Variables were costs, return on investment (ROI), iterative Patient Health Questionnaire (PHQ)9 scores, and satisfaction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ICC (Integrated Care Coaching) | Experimental | Received evidence-based, protocol-driven integrated care coaching intervention to improve chronic illness health outcomes (clinical, financial). |
|
| Control Group | Experimental | Matched cohort by age and chronic illness diagnoses - no intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ICC (Integrated Care Coaching) Intervention Group | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| Return of Investment and Cost of Medical Care | Primary outcomes were ROI and cost of medical care (including inpatient, outpatient, emergency room, office and other (ie, physical therapy). ICC participants and control group members had a minimum of 6 months to a maximum of 12 months measurement period. | 6 to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Level of Depressive Symptoms per Interactive Patient Health Questionnaire (PHQ-9) scores | Secondary outcome was level of depressive symptoms per Interactive Patient Health Questionnaire (PHQ-9) scores. ICC participants and control group members had a minimum of 6 months to a maximum of 12 months measurement period. | 6 to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Satisfaction | 6 to 12 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marylou Buyse, M.D., M.S. | Scott and White Health Plan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Scott & White Health Plan | Temple | Texas | 76502 | United States |
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| ID | Term |
|---|---|
| D002908 | Chronic Disease |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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