Staffing Patterns of Comprehensive Primary Care Practices

NCT ID: NCT01827189

Last Updated: 2018-08-16

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 15000 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2012-10-31
• Study Completion Date: 2018-05-31

Brief Summary

Examines staff size and composition of the 496 advanced primary care practices participating in CMS's comprehensive primary care initiative, in 7 regions (states or local areas) that were selected for the demonstration.

Detailed Description

Participating practices all have electronic health records, submitted applications to participate in this demonstration program designed to improve primary care practices, and were selected as the most advanced of the applicants in terms of use of health information technology and certification as a medical home or possessing features similar to those of a medical home. Participating practices will receive monthly payments from Centers for Medicare & Medicaid (CMS) for Medicare patients attributed to the practice, and from other payers in the market taht are participating in the initiative. The demonstration began in October 2012 and will continue for 4 years. This early paper focuses on describing these practices at the outset of the demonstration.

Conditions

Medicare Expenditures and Hospital Use, All Conditions

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

Comprehensive primary care practices

Comprehensive primary care practices are the intervention group.

Comprehensive primary care

Intervention Type: OTHER

Practices participating in the comprehensive primary care initiative receive a monthly amount from Centers for Medicare and Medicaid Services for each attributed Medicare patient, plus technical support of a learning collaborative, and can share in any net savings generated.

Comparison practices

Comparison practices are the case-control group--the matched set of practices in a comparison area--whose patients' outcomes will be compared to those of intervention practices.

No interventions assigned to this group

Interventions

Comprehensive primary care

Practices participating in the comprehensive primary care initiative receive a monthly amount from Centers for Medicare and Medicaid Services for each attributed Medicare patient, plus technical support of a learning collaborative, and can share in any net savings generated.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• All Medicare fee-for-service patients who receive the majority of their Evaluation and Management visits from one of the study practices.

Exclusion Criteria

• none.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Mathematica Policy Research, Inc.

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Randall S Brown, PhD

Role: PRINCIPAL_INVESTIGATOR

Mathematica Policy Research

Other Identifiers

cpc32813

Identifier Type: -

Identifier Source: org_study_id