Examining Digital Health Care Delivery Models Through Medicaid Collaborative
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorOSF Healthcare System
About this trial
The purpose of this study is to examine the intervention effectiveness and dissemination of digital health care delivery models for improving selected health outcomes in the Medicaid population.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient of one of four medically qualified health care centers and/or OSF HealthCare as defined by insurance type
Insured by Medicaid or dually eligible for Medicare or Medicaid
Able to read and understand English or read translated materials in language provided (e.g. Spanish)
Minors who are pregnant and less 18 years of age who are enrolled in the MIC Program
Disqualifiers
Not enrolled in the MIC Program
No one will be excluded on basis of sex or race
Trial population
The study population will be comprised of individuals who are enrolled in a digital health care delivery model for improving selected health outcomes in the Medicaid population. The population will be obtained from the cohorts as listed above. All those enrolled in the MIC program will be strategically identified and used as the population from which to draw the sample for the quantitative and qualitative portions of the study.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
digital health delivered multicomponent intervention
BehavioralThe MIC program will have set minimum levels of connectivity for each of the three defined conditions under study.
Treatment groups
19,331 Participants
are divided into 5 treatment groupsGroup A: OSF HealthCare1 intervention
Group B: Federally Qualified Health Center (FQHC) - 11 intervention
Group C: Federally Qualified Health Center (FQHC) - 21 intervention
Group D: Federally Qualified Health Center (FQHC) - 31 intervention
Group E: Federally Qualified Health Center (FQHC) - 41 intervention
Trial outcomes
Primary outcomes
1
Change in participant's blood pressure control at three points in time
Decrease in the average systolic and/or diastolic blood pressure
Time frame
3 months, 6 months, 12 months2
Change in participant's glycemic control at three points in time
Defined as a reduction \>1% in glycosylated hemoglobin (hemoglobin A1C)
Time frame
3 months, 6 months, 12 months3
Change in Patient Assessment of Chronic Illness Care scale (PACIC) from baseline to exit from program
Measure of patient's perception of care management for chronic disease - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care
Time frame
baseline, end of program, on average of 1 year4
Change in Patient Perception of Health Care Management (adapted form of PACIC to reflect pre/postnatal care) from baseline to exit from program
Measure of patient-centered care and self-management - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care
Time frame
baseline, end of program, on average 6 monthsSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov