Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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WITHDRAWN
NA
INTERVENTIONAL
2019-06-01
2020-12-31
Brief Summary
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Detailed Description
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Using a combination of health information exchange, electronic health record, and aggregate datasets the investigators developed predictive algorithms to identify patients a highest risk for a need for a referral to a social worker, dietitian, behavioral health, or other wraparound service provider. Risk scores are available to primary care providers in two ways within the electronic health record system (EHR): 1) a graphical summary of individual risk or 2) a line listing of all scheduled patients.
The investigators are introducing the risk-stratification tool in an urban safety-net primary care provider on a voluntary usage basis.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
SCREENING
NONE
Study Groups
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Intervention group
Encounters at primary care clinics with the risk screening tool
Risk screening tool exposure
Risk screening tool is available to providers
Comparison group
Propensity score matched comparison encounters
No interventions assigned to this group
Interventions
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Risk screening tool exposure
Risk screening tool is available to providers
Eligibility Criteria
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Inclusion Criteria
* The propensity score matched primary care encounters from non-Eskenazi facilities.
Exclusion Criteria
ALL
Yes
Sponsors
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Robert Wood Johnson Foundation
OTHER
Indiana University
OTHER
Responsible Party
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Joshua R. Vest, PhD
Associate Professor & Center Director
Principal Investigators
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Joshua R Vest, PhD
Role: PRINCIPAL_INVESTIGATOR
Associte Professor
Locations
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Eskenazi Health
Indianapolis, Indiana, United States
Countries
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References
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Kasthurirathne SN, Vest JR, Menachemi N, Halverson PK, Grannis SJ. Assessing the capacity of social determinants of health data to augment predictive models identifying patients in need of wraparound social services. J Am Med Inform Assoc. 2018 Jan 1;25(1):47-53. doi: 10.1093/jamia/ocx130.
Vest JR, Grannis SJ, Haut DP, Halverson PK, Menachemi N. Using structured and unstructured data to identify patients' need for services that address the social determinants of health. Int J Med Inform. 2017 Nov;107:101-106. doi: 10.1016/j.ijmedinf.2017.09.008. Epub 2017 Sep 20.
Vest JR, Menachemi N, Grannis SJ, Ferrell JL, Kasthurirathne SN, Zhang Y, Tong Y, Halverson PK. Impact of Risk Stratification on Referrals and Uptake of Wraparound Services That Address Social Determinants: A Stepped Wedged Trial. Am J Prev Med. 2019 Apr;56(4):e125-e133. doi: 10.1016/j.amepre.2018.11.009. Epub 2019 Feb 14.
Other Identifiers
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VEST-RWJF-PHASE2
Identifier Type: -
Identifier Source: org_study_id
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