Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes

Johns Hopkins Bloomberg School of Public Health6,767 enrolled

Overview

Project CONNECT ("Community-based Organizations Neighborhood Network: Enhancing Capacity Together") is a randomized controlled trial that involves 22 community-based organizations (CBOs) located in Baltimore, MD. Half of these organizations were randomly assigned to the intervention group using a constrained cluster randomization process. The remaining 11 are a part of the control intervention group. The intervention is a co-developed set of IT tools hypothesized to improve the connections among intervention CBOs, Johns Hopkins health care facilities and CBO clients.

see above

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

6,767

Conditions

Diabetes Cardiovascular Disease Substance Abuse Disorder Mental Health Disorder

Interventions

Co-developed IT interventionOTHER

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

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: Community Based Organization; 501-C3 status; Located within zip codes surrounding Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center; Provides direct services to clients Exclusion Criteria: Part of Johns Hopkins Medicine or Baltimore City Agency

Outcomes

Primary Outcomes

Change in Emergency Department Visits + Hospital Days

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.

Time frame: Pre-Intervention (09/01/2012 to 03/09/2014); Post-Intervention (03/10/2014-09/30/2015