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Spots Global Cancer Trial Database for Evaluation of Programs of Coordinated Care and Disease Management

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Trial Identification

Brief Title: Evaluation of Programs of Coordinated Care and Disease Management

Official Title: Evaluation of Programs of Coordinated Care and Disease Management

Study ID: NCT00627029

Interventions

Care Coordination

Study Description

Brief Summary: This is a Congressionally mandated study. In the original study, 16 demonstration programs provided care coordination services to beneficiaries with chronic illness in Medicare's fee-for-service program. A five-year CMS-funded study tested whether the programs can improve patients' use of medical services, improve patients' outcomes and satisfaction with care, and reduce Medicare costs. The study also assessed physicians' satisfaction with the programs. In 2008 Congress extended the project for two of the original programs--Mercy Medical Center - North Iowa and Health Quality Partners in Pennsylvania--and they will enroll Medicare beneficiaries and provide care coordination services into the spring of 2010.

Detailed Description: Mathematica Policy Research, Inc. (MPR) evaluated 16 independent demonstration sites that provide coordinated care interventions to Medicare beneficiaries with chronic illnesses. The rationale for the demonstration is the lack of coordination among the multiple providers typically serving Medicare beneficiaries with chronic illnesses, as well as the adverse consequences of the lack of coordination for the beneficiaries and for Medicare costs. The demonstration sites, selected in early 2001, offered programs designed to improve both the care that patients receive and patients' knowledge of, and adherence with, recommended self-care and behavior. The study estimated the effects of each site on patients' well-being and satisfaction, in addition to the site's effects on the use and cost of Medicare covered services. This analysis relied on a patient survey conducted 6 to 12 months after enrollment, and on Medicare claims data and any data available from the demonstration sites that could enhance the study. The study included two rounds of physician surveys. In each site, eligible applicants were randomly assigned to treatment and control groups. An extensive process analysis was conducted to describe the interventions in detail, with the key goal being an assessment of those factors that account for program success and failure. The study included case studies of each site, program profiles, interim site-specific memos, two interim summary reports, two reports to Congress (based on the interim summary reports), and a final summary report. This original study enrolled 18,277 beneficiaries. In 2008 Congress extended the study for 2 of the sites, Mercy Medical Center - North Iowa and Health Quality Partners in Pennsylvania, and they will recruit beneficiaries and provide demonstration intervention services through the spring of 2010. Mathematica Policy Research will evaluate the results of this extended demonstration using Medicare claims data and qualitative site visits to the two programs.

Eligibility

Minimum Age:

Eligible Ages: CHILD, ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Hospice of the Valley MediCaring Project, Phoenix, Arizona, United States

Georgetown University Medical Center-Mind My Heart Program, Washington, District of Columbia, United States

Quality Oncology/Matria Healthcare, Sunrise, Florida, United States

CorSolutions/Matria Healthcare, Rosemont, Illinois, United States

Carle Foundation and Hospital, Urbana, Illinois, United States

Mercy Medical Center - North Iowa, Mason City, Iowa, United States

Medical Care Development, Augusta, Maine, United States

University of Maryland Medical Center, Baltimore, Maryland, United States

Charlestown/Erickson Retirement Communities, Catonsville, Maryland, United States

Washington University-St.Louis School of Medicine/Barnes-Jewish Hospital, St. Louis, Missouri, United States

QMed, Inc., Eatontown, New Jersey, United States

Lovelace Health Systems, Albuquerque, New Mexico, United States

Jewish Home Lifecare, New York, New York, United States

Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota, United States

CenVaNet, Richmond, Virginia, United States

Contact Details

Name: Randall S. Brown, Ph.D.

Affiliation: Mathematica Policy Research, Inc.

Role: STUDY_DIRECTOR

Name: Carol A. Magee, Ph.D.

Affiliation: Centers for Medicare & Medicaid Services

Role: STUDY_DIRECTOR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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