The goal of this study is to identify outcomes associated with Behavioral Health Integration (BHI) that matter to patients, to compare changes in outcome over time to measure the impact of different BHI models on different patients, and to create and maintain an Integration Learning Collaborative.
Twelve safety net clinics have been selected to be a part of this study. The clinics vary on a BHI continuum level, which includes minimal collaboration, basic collaboration at a distance, basic collaboration on site, close collaboration (partially integrated) and close collaboration (fully integrated). Twelve-thousand patients will be randomly selected from the 12 clinics to be invited to participate in the study. Patients who elect to participate will complete a survey at baseline to collect patient-reported outcomes and again twelve months later. The Oregon All Providers All Claims (APAC) database will be accessed to analyze financial data regarding the patients at baseline and 12 months. The hypothesis is that the degree of clinic BHI will predict patient outcomes.
Study Type
OBSERVATIONAL
Enrollment
6,000
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with access to care.
Analysis of health care claims data for depression screenings at baseline and 12 months.
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-provider relationship.
Center for Outcomes Research and Education, Providence Health & Services
Portland, Oregon, United States
Change in patient reported outcomes
Change in patient reported outcomes at baseline and 12 months
Time frame: 12 months
Change in health care claims
change in health care claims at baseline and 12 months
Time frame: 12 months
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Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with patient-clinic interactions.
Patient reported outcome survey administered at baseline and 12 months to measure perceived stigma.
Patient reported outcome survey administered at baseline and 12 months to measure satisfaction with provider continuity.
Patient reported outcome survey administered at baseline and 12 months to measure symptom severity.
Patient reported outcome survey administered at baseline and 12 months to measure diagnoses.
Patient reported outcome survey administered at baseline and 12 months to assess social support and outlets.
Analysis of health care claims data for preventive screenings at baseline and 12 months.
Analysis of health care claims data for Inpatient Hospitalization Utilization at baseline and 12 months.
Analysis of health care claims data for Inpatient Hospitalization Readmissions at baseline and 12 months.
Analysis of health care claims data for Post-Admission follow-up at baseline and 12 months.