Persons With Disabilities Generating Quality Metrics

NCT ID: NCT02390557

Last Updated: 2018-11-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 451 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-07-01
• Study Completion Date: 2016-10-07

Brief Summary

No standard way exists to measure the quality of medical care or independent living long-term services and supports provided to persons with disabilities. This project will: provide a broader picture of how consumers with disabilities define care and care quality; measure the value of using consumers' expertise in developing, collecting, and assessing quality measures; and use this information to assist One Care providers in improving care delivered to their enrollees

Detailed Description

The aims of the project are as follows:

1. To work with persons with significant physical disabilities and serious and persistent mental illness to develop two new approaches to assess quality of care:

Approach #1: We will survey enrollees about their experiences in One Care and their thoughts about the care they receive. This survey will also ask One Care enrollees about how they manage their care and what self-direction means to them. The survey will be called the Persons with Disabilities Quality Survey (PDQ-S), and it will be available in English and Spanish versions.

Approach #2: Enrollees in One Care will provide information about their perceptions of care quality to a trained team of persons with disabilities who will report the information to One Care care teams. The goal of the activity is to support quality improvement in One Care through hearing the consumer's voice. This is called YES Health - Your Experience: Speak up for better health care.

2. We want to test how providing consumer informed and consumer directed quality information to One Care providers affects One Care quality.

3. We want to improve the ability of One Care enrollees to manage their own health care and to recognize and report quality problems

Conditions

Physical Disability; Chronic Mental Disorder

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: DOUBLE

Study Groups

Control - Standard Practice

Standard measures of quality at baseline. No intervention reports sent to providers

Group Type: NO_INTERVENTION

No interventions assigned to this group

Survey

Persons with Disabilities Quality Survey.PDQS Survey Reports Intervention.reports sent to providers of OneCare enrollees

Group Type: EXPERIMENTAL

Survey

Intervention Type: OTHER

PDQS survey reports only

YESHealth

Arm 3: YESHealth Reports and PDQS Survey Reports sent to providers of OneCare enrollees

Group Type: EXPERIMENTAL

Survey

Intervention Type: OTHER

PDQS survey reports only

YESHealth

Intervention Type: OTHER

Arm 3: YESHealth and PDQS survey reports to providers

Interventions

Survey

PDQS survey reports only

Intervention Type: OTHER

YESHealth

Arm 3: YESHealth and PDQS survey reports to providers

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• One Care enrollee
• Permanent physical disability and/or serious mental illness
• Seen at designated practice site
• English or Spanish speaking

Exclusion Criteria

• Persons with an intellectual or a developmental disability

• Minimum Eligible Age: 21 Years
• Maximum Eligible Age: 64 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Patient-Centered Outcomes Research Institute

OTHER

Sponsor Role: collaborator

Massachusetts General Hospital

OTHER

Sponsor Role: lead

Responsible Party

Lisa Iezzoni

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Lisa I Iezzoni, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

Mongan Institute Health Policy Center, Massachusetts General Hospital

Other Identifiers

2014000899

Identifier Type: -

Identifier Source: org_study_id