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| Name | Class |
|---|---|
| Patient-Centered Outcomes Research Institute | OTHER |
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No standard way exists to measure the quality of medical care or independent living long-term services and supports provided to persons with disabilities. This project will: provide a broader picture of how consumers with disabilities define care and care quality; measure the value of using consumers' expertise in developing, collecting, and assessing quality measures; and use this information to assist One Care providers in improving care delivered to their enrollees
The aims of the project are as follows:
To work with persons with significant physical disabilities and serious and persistent mental illness to develop two new approaches to assess quality of care:
Approach #1: We will survey enrollees about their experiences in One Care and their thoughts about the care they receive. This survey will also ask One Care enrollees about how they manage their care and what self-direction means to them. The survey will be called the Persons with Disabilities Quality Survey (PDQ-S), and it will be available in English and Spanish versions.
Approach #2: Enrollees in One Care will provide information about their perceptions of care quality to a trained team of persons with disabilities who will report the information to One Care care teams. The goal of the activity is to support quality improvement in One Care through hearing the consumer's voice. This is called YES Health - Your Experience: Speak up for better health care.
We want to test how providing consumer informed and consumer directed quality information to One Care providers affects One Care quality.
We want to improve the ability of One Care enrollees to manage their own health care and to recognize and report quality problems
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control - Standard Practice | No Intervention | Standard measures of quality at baseline. No intervention reports sent to providers | |
| Survey | Experimental | Persons with Disabilities Quality Survey.PDQS Survey Reports Intervention.reports sent to providers of OneCare enrollees |
|
| YESHealth | Experimental | Arm 3: YESHealth Reports and PDQS Survey Reports sent to providers of OneCare enrollees |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Survey | Other | PDQS survey reports only |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Improved Quality of Care | % who agree that their quality of care Is better, the same or worse than before | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lisa I Iezzoni, MD, MSc | Mongan Institute Health Policy Center, Massachusetts General Hospital | Principal Investigator |
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The unit of randomization is the practice. In each wave, we selected survey participants who were patients in those practices. For wave 2 we report the cases from Wave 1 who completed the Wave 2 survey.
| ID | Title | Description |
|---|---|---|
| FG000 | Control - Standard Practice | Standard measures of quality as scheduled through One Care demonstration |
| FG001 | Survey Arm | Consumer surveyed with Persons with Disabilities Quality Survey (PDQ-S) Results given to provider along with standard quality metric data as scheduled through One Care |
| FG002 | YES Health | Initiative created by persons with disabilities for persons with disabilities to actively engage in collecting, analyzing and reporting on quality of care from the consumer perspective. The purpose is to engage eligible enrollees to answer brief surveys surrounding various themes about the care and experiences they receive through One Care. Subsequent brief, actionable reports are fed back to primary care provider practices randomized to this arm. YES Health: Intervention Arm |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wave 1 |
| |||||||||||||
| Wave 2 |
|
The baseline analysis population participants are the respondents to the Wave 1 survey who enrolled in the study by completing the baseline survey
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| ID | Title | Description |
|---|---|---|
| BG000 | Control - Standard Practice | Standard measures of quality as scheduled through One Care demonstration |
| BG001 | Survey Arm | Consumer surveyed with Persons with Disabilities Quality Survey (PDQ-S) Results given to provider along with standard quality metric data as scheduled through One Care |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Wave 2 data are for the participants who completed both Wave 1 and Wave 2 surveys |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Improved Quality of Care | % who agree that their quality of care Is better, the same or worse than before | 315 participants completing wave 1 and wave 2 surveys | Posted | Count of Participants | Participants | 12 months |
|
1 year
We measured adverse events as reports of events from participants at time of survey or in the intervening period.
These were surveys, no adverse events were reported by participants or next of kin
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Control - Standard Practice | Standard measures of quality as scheduled through One Care demonstration |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Lisa I. Iezzoni, MD, MSc | Massachusetts General Hospital, Mongan Institute for Health Policy | 6176430657 | liezzoni@mgh.harvard.edu |
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| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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control v Survey v YESHealth
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Randomization was performed at the level of primary care practice. Providers and patients were unaware of assignment to study arms
| YESHealth |
| Other |
Arm 3: YESHealth and PDQS survey reports to providers |
|
| NOT COMPLETED |
|
|
| BG002 | YES Health | Initiative created by persons with disabilities for persons with disabilities to actively engage in collecting, analyzing and reporting on quality of care from the consumer perspective. The purpose is to engage eligible enrollees to answer brief surveys surrounding various themes about the care and experiences they receive through One Care. Subsequent brief, actionable reports are fed back to primary care provider practices randomized to this arm. YES Health: Intervention Arm |
| BG003 | Total | Total of all reporting groups |
| Count of Participants |
| Participants |
|
| Sex: Female, Male | The Wave 1 row shows all participants who enrolled at baseline. The Wave 2 row shows all participants from wave 1 who completed the Wave 2 survey, thus providing data for the pre post comparisons in each study arm | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Wave 1 data are for enrolled subjects at Baseline Wave 2 data are for those who enrolled in Wave 1 who completed Wave 2 surveys for longitudinal pre post analyses | Count of Participants | Participants |
|
| Disability Type | Wave 1 data are for baseline enrollees Wave 2 data are for Wave 1 enrollees who also completed Wave 2 survey | Count of Participants | Participants |
|
| YES Health |
Initiative created by persons with disabilities for persons with disabilities to actively engage in collecting, analyzing and reporting on quality of care from the consumer perspective. The purpose is to engage eligible enrollees to answer brief surveys surrounding various themes about the care and experiences they receive through One Care. Subsequent brief, actionable reports are fed back to primary care provider practices randomized to this arm. YES Health: Intervention Arm |
|
|
|
| 0 |
| 160 |
| 0 |
| 160 |
| 0 |
| 160 |
| EG001 | Survey Arm | Consumer surveyed with Persons with Disabilities Quality Survey (PDQ-S) Results given to provider along with standard quality metric data as scheduled through One Care | 0 | 156 | 0 | 156 | 0 | 156 |
| EG002 | YES Health | Initiative created by persons with disabilities for persons with disabilities to actively engage in collecting, analyzing and reporting on quality of care from the consumer perspective. The purpose is to engage eligible enrollees to answer brief surveys surrounding various themes about the care and experiences they receive through One Care. Subsequent brief, actionable reports are fed back to primary care provider practices randomized to this arm. YES Health: Intervention Arm | 0 | 135 | 0 | 135 | 0 | 135 |
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| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| Between 18 and 65 years |
|
| >=65 years |
|
| Title | Measurements |
|---|---|
| <=18 years |
|
| Between 18 and 65 years |
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| >=65 years |
|
| Male |
|
| Title | Measurements |
|---|---|
| Female |
|
| Male |
|
| Black |
|
| Hispanics |
|
| Other |
|
| Title | Measurements |
|---|---|
| White |
|
| Black |
|
| Hispanics |
|
| Other |
|
| Severe Mental Illness |
|
| Title | Measurements |
|---|---|
| Significant Physical Disability |
|
| Severe Mental Illness |
|