Trial Outcomes & Findings for Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes (NCT NCT02222909)
NCT ID: NCT02222909
Last Updated: 2024-02-09
Results Overview
The change in the average number of monthly emergency department visits and days spent in the hospital from the pre- intervention to the post-intervention period for J-CHiP patients assigned to each of the CBOs, adjusted for baseline prognostic variables.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
6767 participants
Primary outcome timeframe
Pre-Intervention (09/01/2012 to 03/09/2014); Post-Intervention (03/10/2014-09/30/2015
Results posted on
2024-02-09
Participant Flow
We used the IRS Master file of Tax Exempt Organizations to identify all non-profit organizations in our zip codes of interest, and the used the NTEE (National Taxonomy of Exempt Entities) Classification System to exclude organizations that were not involved in the direct delivery of health and human services to adults.
Unit of analysis: Community-based Organizations
Participant milestones
| Measure |
Intervention
This group was exposed to a multi-component intervention, which included: 1) Participation in monthly meetings with other Community Organization partners, 2) a subscription to a web-based platform called 'Healthify' ("a platform used by care teams to make quick and accurate referrals for patients who need additional help from social services", 3) provision of a Research Assistant to volunteer at the organization and to provide technical assistance with the use of Healthify, 4) access to a website with Health Education materials for patients provided in English and Spanish, information about recruiting volunteers, and information about upcoming professional training, and 5) participation in Meet and Greet Sessions with Johns Hopkins Health System inpatient and outpatient Social Workers and Case Managers.
|
Control
This group did not participate in any intervention activities.
|
|---|---|---|
|
Overall Study
STARTED
|
2637 11
|
4130 11
|
|
Overall Study
COMPLETED
|
2637 10
|
4130 10
|
|
Overall Study
NOT COMPLETED
|
0 1
|
0 1
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes
Baseline characteristics by cohort
| Measure |
Intervention CBOs
n=2637 Participants
Will receive "co-developed IT intervention" developed together with intervention group community based members. Set of primarily web based tools to improve connection with clients, Johns Hopkins Medicine and one another, referrals, and volunteer services.
Co-developed IT intervention: The IT-based intervention is being co-developed with the community based organizations in the intervention group, and comprises tools to improve referral and tracking of clients, use of volunteers, and direct communication with hospital staff members
|
Control CBOs
n=4130 Participants
Community Based Organizations that are being followed for data collection only for the period of one year
|
Total
n=6767 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
62 years
n=5 Participants
|
62 years
n=7 Participants
|
62 years
n=5 Participants
|
|
Sex/Gender, Customized
Gender · Female
|
1685 Participants
n=5 Participants
|
2584 Participants
n=7 Participants
|
4269 Participants
n=5 Participants
|
|
Sex/Gender, Customized
Gender · Male
|
951 Participants
n=5 Participants
|
1545 Participants
n=7 Participants
|
2496 Participants
n=5 Participants
|
|
Sex/Gender, Customized
Gender · Unknown
|
1 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race/Ethnicity · African American
|
1441 Participants
n=5 Participants
|
2089 Participants
n=7 Participants
|
3530 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race/Ethnicity · Asian
|
22 Participants
n=5 Participants
|
26 Participants
n=7 Participants
|
48 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race/Ethnicity · Caucasian
|
968 Participants
n=5 Participants
|
1704 Participants
n=7 Participants
|
2672 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race/Ethnicity · Hispanic
|
15 Participants
n=5 Participants
|
21 Participants
n=7 Participants
|
36 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race/Ethnicity · Native American
|
1 Participants
n=5 Participants
|
10 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race/Ethnicity · Other
|
114 Participants
n=5 Participants
|
167 Participants
n=7 Participants
|
281 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race/Ethnicity · Unknown
|
76 Participants
n=5 Participants
|
113 Participants
n=7 Participants
|
189 Participants
n=5 Participants
|
|
Insurance Type
Medicare
|
1699 Participants
n=5 Participants
|
2664 Participants
n=7 Participants
|
4363 Participants
n=5 Participants
|
|
Insurance Type
PPMCO
|
938 Participants
n=5 Participants
|
1466 Participants
n=7 Participants
|
2404 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Pre-Intervention (09/01/2012 to 03/09/2014); Post-Intervention (03/10/2014-09/30/2015Population: Data collected at the community-based organization level.
The change in the average number of monthly emergency department visits and days spent in the hospital from the pre- intervention to the post-intervention period for J-CHiP patients assigned to each of the CBOs, adjusted for baseline prognostic variables.
Outcome measures
| Measure |
Control CBOs
n=10 community based organizations
For each of the 10 CBOs randomized to the control arm, we calculated the average change (adjusted for pre-intervention variables) from the pre-intervention (9/1/12 to 3/9/14) to the post-intervention post-intervention (3/10/14 to 9/30/15) periods in the monthly average of the number of ED visits and days spent in the hospital among all J-CHiP patients assigned to that arm.
|
Intervention CBOs
n=10 community based organizations
For each of the 10 CBOs randomized to the intervention arm, we calculated the average change (adjusted for pre-intervention variables) from the pre-intervention (9/1/12 to 3/9/14) to the post-intervention post-intervention (3/10/14 to 9/30/15) periods in the monthly average of the number of ED visits and days spent in the hospital among all J-CHiP patients assigned to that arm.
|
|---|---|---|
|
Change in Emergency Department Visits + Hospital Days
|
-0.0069 Diff in monthly hospital days+ED visits
Standard Deviation 0.513
|
0.0113 Diff in monthly hospital days+ED visits
Standard Deviation 0.525
|
Adverse Events
Control
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Intervention
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place