ABM for ACO Beneficiaries

NCT ID: NCT02137551

Last Updated: 2016-02-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 595 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-08-31
• Study Completion Date: 2016-02-29

Brief Summary

The primary objective of the study is to evaluate how engaging ACO beneficiaries in the appointment based model for one year impacts medication adherence and healthcare costs compared to usual care.

Detailed Description

The American Pharmacists Association (APhA) Foundation has partnered with a federally qualified health center (FQHC), a supermarket community pharmacy, and an accountable care organization (ACO) to participate in this ABM for ACO Beneficiaries initiative. The FQHC, El Rio Community Health Center pharmacy, and supermarket pharmacy, Fry's Pharmacy, will serve as implementing pharmacy study sites and will implement the ABM for beneficiaries of the ACO who utilize their pharmacies for medication refill services. The ABM involves synchronizing all medications to come due on the same day of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes. The ACO will provide medical and claims data on enrolled subjects as well as a control group for the intervention population. The APhA Foundation will aggregate intervention, prescription fill, and economic data from the 3 partners in an effort to evaluate the impact of the ABM on healthcare costs and medication adherence. The APhA Foundation has an a priori intent to publish the project results.

Conditions

Medication Adherence

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

ABM Intervention in FQHC

Pharmacy technicians within El Rio will implement the ABM

Group Type: EXPERIMENTAL

ABM

Intervention Type: OTHER

The ABM involves synchronizing all medications to come due on the same say of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes.

ABM Intervention in a Supermarket Pharmacy

Pharmacists within Fry's will implement the ABM

Group Type: EXPERIMENTAL

ABM

Intervention Type: OTHER

The ABM involves synchronizing all medications to come due on the same say of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes.

Usual care

Patients will refill prescriptions at their usual pharmacy in the customary way.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

ABM

The ABM involves synchronizing all medications to come due on the same say of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes.

Intervention Type: OTHER

Other Intervention Names

Appointment Based Model

Eligibility Criteria

Inclusion Criteria

• Are beneficiaries of the partnering ACO;
• Are receiving medical care at El Rio and have been since before May 1, 2013;
• Are taking 2 or more medications that are refilled on 30, 60, or 90 day schedules;
• Speak English or Spanish;
• Are at least 18 years of age; and
• Are not institutionalized (i.e., residents of nursing homes, psychiatric institutions, or prisons).

Exclusion Criteria

• Use of a legal authorized representative

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

American Pharmacists Association Foundation

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Lindsay Kunkle, PharmD

Role: PRINCIPAL_INVESTIGATOR

APhA

Benjamin Bluml, BPharm

Role: STUDY_DIRECTOR

APhA Foundation

Locations

Fry's Pharmacy Care Center

Phoenix, Arizona, United States

El Rio Community Health Center

Tucson, Arizona, United States

Countries

United States

Other Identifiers

012

Identifier Type: -

Identifier Source: org_study_id