Behavioral Health
Conditions
Keywords
Integration, Primary Care, Behavioral Health, Health Care Reform, Medical Home, Accountable Care Organization
Brief summary
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.
Detailed description
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.
Interventions
OTHERPreventive Screening
Analysis of health care claims data for preventive screenings at baseline and 12 months.
OTHERDiagnoses
Patient reported outcome survey administered at baseline and 12 months to measure diagnoses.
OTHERSocial support
Patient reported outcome survey administered at baseline and 12 months to assess social support and outlets.
OTHERAccess to Care
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with access to care.
OTHERDepression Screening
Analysis of health care claims data for depression screenings at baseline and 12 months.
OTHERPatient-Provider Relationship
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-provider relationship.
OTHERPatient-Clinic Interactions
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-clinic interactions.
OTHERStigma
Patient reported outcome survey administered at baseline and 12 months to measure perceived stigma.
OTHERProvider Continuity
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with provider continuity.
OTHERSymptom Severity
Patient reported outcome survey administered at baseline and 12 months to measure symptom severity.
OTHERInpatient Hospitalization Utilization
Analysis of health care claims data for Inpatient Hospitalization Utilization at baseline and 12 months.
OTHERInpatient Readmissions
Analysis of health care claims data for Inpatient Hospitalization Readmissions at baseline and 12 months.
OTHERPost-Admission follow-up
Analysis of health care claims data for Post-Admission follow-up at baseline and 12 months.
Sponsors
Patient-Centered Outcomes Research Institute
Oregon Health and Science University
Cascadia Addiction Research and Education, LLC
Umpqua Community Health Center
Mosaic Medical
North Portland Clinic
Providence Medical Group
Rockwood Clinic
The Bend Clinic
Yamhill CCO
The Annex
Cascadia Gardiner Clinic
Umpqua Expanded Care Clinic
Bridges Clinic
Providence Health & Services
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age \>= 18 * Received care at a safety net care clinic in Oregon
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in patient reported outcomes | 12 months | Change in patient reported outcomes at baseline and 12 months |
| Change in health care claims | 12 months | change in health care claims at baseline and 12 months |
Countries
United States
Outcome results
None listed