Trial Outcomes & Findings for IMPACCT for Kids' Care (NCT NCT02298361)
NCT ID: NCT02298361
Last Updated: 2016-06-02
Results Overview
Percent of total days in 22-month assessment period that each child was covered by Medicaid insurance. Assessed using state administrative records linked to EHR data; this outcome was assessed among the subset of participants with a Medicaid ID (and thus could be linked between the two data sources).
Recruitment status
COMPLETED
Target enrollment
27251 participants
Primary outcome timeframe
6 months pre- through 16 months post-tool implementation
Results posted on
2016-06-02
Participant Flow
Participant milestones
| Measure |
Intervention Patients
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were used
|
Within-clinic Comparison Patients
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were not used
|
Control Clinic Comparison Patients
Matched Community Health Centers that did not implement health insurance outreach IT tools: active patients
|
|---|---|---|---|
|
Overall Study
STARTED
|
2240
|
12784
|
12227
|
|
Overall Study
COMPLETED
|
2240
|
12784
|
12227
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
IMPACCT for Kids' Care
Baseline characteristics by cohort
| Measure |
Intervention Patients
n=2240 Participants
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were used
|
Within-clinic Comparison Patients
n=12784 Participants
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were not used
|
Control Clinic Comparison Patients
n=12227 Participants
Matched Community Health Centers that did not implement health insurance outreach IT tools: active patients
|
Total
n=27251 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
2170 Participants
n=5 Participants
|
12306 Participants
n=7 Participants
|
11783 Participants
n=5 Participants
|
26259 Participants
n=4 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
70 Participants
n=5 Participants
|
478 Participants
n=7 Participants
|
444 Participants
n=5 Participants
|
992 Participants
n=4 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Age, Continuous
|
9.3 years
STANDARD_DEVIATION 5.4 • n=5 Participants
|
8.6 years
STANDARD_DEVIATION 5.9 • n=7 Participants
|
8.2 years
STANDARD_DEVIATION 5.9 • n=5 Participants
|
8.5 years
STANDARD_DEVIATION 5.8 • n=4 Participants
|
|
Sex: Female, Male
Female
|
1119 Participants
n=5 Participants
|
6524 Participants
n=7 Participants
|
6128 Participants
n=5 Participants
|
13771 Participants
n=4 Participants
|
|
Sex: Female, Male
Male
|
1121 Participants
n=5 Participants
|
6260 Participants
n=7 Participants
|
6099 Participants
n=5 Participants
|
13480 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
2128 Participants
n=5 Participants
|
8270 Participants
n=7 Participants
|
7266 Participants
n=5 Participants
|
17664 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
103 Participants
n=5 Participants
|
4031 Participants
n=7 Participants
|
4831 Participants
n=5 Participants
|
8965 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
9 Participants
n=5 Participants
|
483 Participants
n=7 Participants
|
130 Participants
n=5 Participants
|
622 Participants
n=4 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
2 Participants
n=5 Participants
|
26 Participants
n=7 Participants
|
166 Participants
n=5 Participants
|
194 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Asian
|
8 Participants
n=5 Participants
|
198 Participants
n=7 Participants
|
297 Participants
n=5 Participants
|
503 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
3 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
128 Participants
n=5 Participants
|
161 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Black or African American
|
17 Participants
n=5 Participants
|
407 Participants
n=7 Participants
|
1345 Participants
n=5 Participants
|
1769 Participants
n=4 Participants
|
|
Race (NIH/OMB)
White
|
1996 Participants
n=5 Participants
|
10758 Participants
n=7 Participants
|
8462 Participants
n=5 Participants
|
21216 Participants
n=4 Participants
|
|
Race (NIH/OMB)
More than one race
|
1 Participants
n=5 Participants
|
26 Participants
n=7 Participants
|
260 Participants
n=5 Participants
|
287 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
213 Participants
n=5 Participants
|
1339 Participants
n=7 Participants
|
1569 Participants
n=5 Participants
|
3121 Participants
n=4 Participants
|
|
Primary language
Spanish
|
1976 participants
n=5 Participants
|
6490 participants
n=7 Participants
|
5803 participants
n=5 Participants
|
14269 participants
n=4 Participants
|
|
Primary language
English
|
241 participants
n=5 Participants
|
5629 participants
n=7 Participants
|
5103 participants
n=5 Participants
|
10973 participants
n=4 Participants
|
|
Primary language
Other
|
22 participants
n=5 Participants
|
622 participants
n=7 Participants
|
1125 participants
n=5 Participants
|
1769 participants
n=4 Participants
|
|
Primary language
Unknown
|
1 participants
n=5 Participants
|
43 participants
n=7 Participants
|
196 participants
n=5 Participants
|
240 participants
n=4 Participants
|
|
Household income as percent of Federal Poverty Level
<=138% FPL
|
2083 participants
n=5 Participants
|
11253 participants
n=7 Participants
|
9998 participants
n=5 Participants
|
23334 participants
n=4 Participants
|
|
Household income as percent of Federal Poverty Level
139-199% FPL
|
114 participants
n=5 Participants
|
734 participants
n=7 Participants
|
918 participants
n=5 Participants
|
1766 participants
n=4 Participants
|
|
Household income as percent of Federal Poverty Level
>=200% FPL
|
29 participants
n=5 Participants
|
283 participants
n=7 Participants
|
1204 participants
n=5 Participants
|
1516 participants
n=4 Participants
|
|
Household income as percent of Federal Poverty Level
Unknown
|
14 participants
n=5 Participants
|
514 participants
n=7 Participants
|
107 participants
n=5 Participants
|
635 participants
n=4 Participants
|
PRIMARY outcome
Timeframe: 6 months pre- through 16 months post-tool implementationPercent of total days in 22-month assessment period that each child was covered by Medicaid insurance. Assessed using state administrative records linked to EHR data; this outcome was assessed among the subset of participants with a Medicaid ID (and thus could be linked between the two data sources).
Outcome measures
| Measure |
Intervention Patients
n=2080 Participants
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were used
|
Within-clinic Comparison Patients
n=11534 Participants
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were not used
|
Control Clinic Comparison Patients
n=11729 Participants
Matched Community Health Centers that did not implement health insurance outreach IT tools: active patients
|
|---|---|---|---|
|
Percent of Study Period Covered by Medicaid
0% covered
|
30 participants
|
451 participants
|
297 participants
|
|
Percent of Study Period Covered by Medicaid
1-49% covered
|
113 participants
|
1062 participants
|
933 participants
|
|
Percent of Study Period Covered by Medicaid
50-99% covered
|
648 participants
|
3198 participants
|
3386 participants
|
|
Percent of Study Period Covered by Medicaid
100% covered
|
1289 participants
|
6823 participants
|
7113 participants
|
PRIMARY outcome
Timeframe: 6 months pre- through 16 months post-tool implementationProportion of participants who gained Medicaid coverage after a period of uninsurance. Assessed using state administrative records linked to EHR data; this outcome was assessed among the subset of participants with a Medicaid ID (and thus could be linked between the two data sources) and who had partial coverage during the study period (i.e., patients with 100% coverage were not 'eligible' to gain coverage).
Outcome measures
| Measure |
Intervention Patients
n=761 Participants
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were used
|
Within-clinic Comparison Patients
n=4260 Participants
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were not used
|
Control Clinic Comparison Patients
n=4319 Participants
Matched Community Health Centers that did not implement health insurance outreach IT tools: active patients
|
|---|---|---|---|
|
Proportion of Patients Who Gained Medicaid Coverage
|
444 participants
|
2611 participants
|
2426 participants
|
PRIMARY outcome
Timeframe: 6 months pre- through 16 months post-tool implementationProportion of participants who lost Medicaid coverage after a period of insurance. Assessed using state administrative records linked to EHR data; this outcome was assessed among the subset of participants with a Medicaid ID (and thus could be linked between the two data sources) and who had partial coverage during the study period (i.e., patients with 100% coverage were not 'eligible' to lose coverage).
Outcome measures
| Measure |
Intervention Patients
n=761 Participants
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were used
|
Within-clinic Comparison Patients
n=4260 Participants
Community Health Centers that implemented health insurance outreach IT tools: active patients on whom tools were not used
|
Control Clinic Comparison Patients
n=4319 Participants
Matched Community Health Centers that did not implement health insurance outreach IT tools: active patients
|
|---|---|---|---|
|
Proportion of Patients Who Lost Medicaid Coverage
|
377 participants
|
1873 participants
|
2173 participants
|
Adverse Events
Intervention Patients
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Within-clinic Comparison Patients
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Control Clinic Comparison Patients
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