UnknownNot Applicable

IT to Support Integration of Social Determinant of Health Services to Reduce Avoidable Emergency Department Visits

United States400 participantsStarted 2020-08-01

Plain-language summary

Working through regional Accountable Care Organizations (ACO) the sponsor will establish a 2-year pilot project to demonstrate that early recognition and intervention in the various Social Determinant of Health (SDoH) domains can reduce avoidable Emergency Department (ED) visits by high utilizers. The regional ACO's will contract with Medicaid Managed Care Plans to assign traditional high ED utilizing members to the pilot project. Members will be offered enhanced peer facilitated care management services connecting members with available SDoH community based services. Members fitting our eligibility criteria will self-select by way of completing a pilot project consent form.

Who can participate

Age range18 Years – 65 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Adults age 18 to 65 * New York State Medicaid Managed Care Members * Have utilized emergency department services 6 or more times in a 12-month period * Have been assigned to the Pilot Project by their Medicaid Managed Care Plan Exclusion Criteria: * Individuals not assigned by a Managed Care Organization meeting the above criteria

What they're measuring

Change in Adoption and Use of IT Platform

Timeframe: Months 6, 12, 18, 24

Change in Engagement of Medicaid Member Participants with Peer Integration Care Services

Timeframe: Months 0, 3, 6, 9, 12, 15, 18, 21, 24

Change in Total Cost of Care for Participating Members

Timeframe: Month 0, Month 24

Trial details

NCT IDNCT04125433

SponsorNorthern New York Rural Behavioral Health Institute

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2022-06-30

Contact for this trial

Barry Brogan, MAPP

518-891-9460 barry@behaviorhealthnet.orh