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| Name | Class |
|---|---|
| Patient-Centered Outcomes Research Institute | OTHER |
| Oregon Health and Science University | OTHER |
| Cascadia Addiction Research and Education, LLC | UNKNOWN |
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The goal of this study is to identify outcomes associated with Behavioral Health Integration (BHI) that matter to patients, to compare changes in outcome over time to measure the impact of different BHI models on different patients, and to create and maintain an Integration Learning Collaborative.
Twelve safety net clinics have been selected to be a part of this study. The clinics vary on a BHI continuum level, which includes minimal collaboration, basic collaboration at a distance, basic collaboration on site, close collaboration (partially integrated) and close collaboration (fully integrated).
Twelve-thousand patients will be randomly selected from the 12 clinics to be invited to participate in the study. Patients who elect to participate will complete a survey at baseline to collect patient-reported outcomes and again twelve months later.
The Oregon All Providers All Claims (APAC) database will be accessed to analyze financial data regarding the patients at baseline and 12 months.
The hypothesis is that the degree of clinic BHI will predict patient outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Safety Net Clinic Patients | A Cohort of patients in 12 different primary care clinics will be studied to measure how changes in different integration factors impacts the following patient reported outcomes at baseline and 12 months: Access to Care, Patient-Provider Relationship, Patient-Clinic Interactions, Stigma, Provider Continuity, Symptom Severity, Diagnoses, and Social Support. Health care claims data will be accessed to analyze Depression Screening, Preventive Screening, Inpatient Hospitalization Utilization, Inpatient Readmissions, and Post-Admission follow-up at baseline and 12 months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Access to Care | Other | Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with access to care. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in patient reported outcomes | Change in patient reported outcomes at baseline and 12 months | 12 months |
| Change in health care claims | change in health care claims at baseline and 12 months | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
-
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Patients accessing care at safety net clinic in Oregon.
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| Name | Affiliation | Role |
|---|---|---|
| Bill J. Wright, PhD | Director, Center for Outcomes Evaluate and Education, Providence Health & Services | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Outcomes Research and Education, Providence Health & Services | Portland | Oregon | 97213 | United States |
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| Label | URL |
|---|---|
| Center for Outcomes Research and Education, Providence Health \& Services | View source |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Nov 3, 2017 | |
| Unrelease | Yes | |
| Release | Jan 31, 2018 |
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| Umpqua Community Health Center |
| UNKNOWN |
| Mosaic Medical | UNKNOWN |
| North Portland Clinic | UNKNOWN |
| Providence Medical Group | UNKNOWN |
| Rockwood Clinic | UNKNOWN |
| The Bend Clinic | UNKNOWN |
| Yamhill CCO | UNKNOWN |
| The Annex | UNKNOWN |
| Cascadia Gardiner Clinic | UNKNOWN |
| Umpqua Expanded Care Clinic | UNKNOWN |
| Bridges Clinic | UNKNOWN |
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| Depression Screening | Other | Analysis of health care claims data for depression screenings at baseline and 12 months. |
|
| Patient-Provider Relationship | Other | Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-provider relationship. |
|
| Patient-Clinic Interactions | Other | Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-clinic interactions. |
|
| Stigma | Other | Patient reported outcome survey administered at baseline and 12 months to measure perceived stigma. |
|
| Provider Continuity | Other | Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with provider continuity. |
|
| Symptom Severity | Other | Patient reported outcome survey administered at baseline and 12 months to measure symptom severity. |
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| Diagnoses | Other | Patient reported outcome survey administered at baseline and 12 months to measure diagnoses. |
|
| Social support | Other | Patient reported outcome survey administered at baseline and 12 months to assess social support and outlets. |
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| Preventive Screening | Other | Analysis of health care claims data for preventive screenings at baseline and 12 months. |
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| Inpatient Hospitalization Utilization | Other | Analysis of health care claims data for Inpatient Hospitalization Utilization at baseline and 12 months. |
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| Inpatient Readmissions | Other | Analysis of health care claims data for Inpatient Hospitalization Readmissions at baseline and 12 months. |
|
| Post-Admission follow-up | Other | Analysis of health care claims data for Post-Admission follow-up at baseline and 12 months. |
|
| Reset | Sep 28, 2018 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Nov 3, 2017 | Yes | |||
| Jan 31, 2018 | Sep 28, 2018 |
| ID | Term |
|---|---|
| D006297 | Health Services Accessibility |
| ID | Term |
|---|---|
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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