## Protocol Section
### Identification Module
**NCT ID:** NCT00385879

**Brief Title:** The Effects of Case Management in a Medicaid Managed Care Plan

**Official Title:** The Effects of Case Management in a Medicaid Managed Care Plan

#### Organization Study ID Info
**ID:** Health Plus at Home
#### Organization
**Class:** OTHER
**Full Name:** Metropolitan Jewish Health System
### Status Module
#### Completion Date
**Date:** 2008-01

#### Expanded Access Info
**Last Known Status:** RECRUITING
#### Last Update Post Date
**Date:** 2006-10-11

**Type:** ESTIMATED

**Last Update Submit Date:** 2006-10-10

**Overall Status:** UNKNOWN

#### Start Date
**Date:** 2006-05

**Status Verified Date:** 2006-10

#### Study First Post Date
**Date:** 2006-10-11
**Type:** ESTIMATED
**Study First Submit Date:** 2006-10-09
**Study First Submit QC Date:** 2006-10-10
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER

**Name:** Metropolitan Jewish Health System

### Description Module

**Brief Summary:** The purpose of this study is to evaluate whether or not case management by a social worker and nurse can decrease the number of emergency room visits, increase the number of primary care doctor visits, and increase quality of life of people in a Medicaid managed care plan.

**Detailed Description:** This study will assign participants based on Zip Code to one of two conditions: control and experimental. In the control group, participants will receive telephonic assessments at baseline, three months, and six months. These assessments will be conducted by a member of the Medical Center's Department of Geriatrics under the supervision of the Principal Investigator. Participants in the experimental group will receive medical case management provided by a nurse and social worker in the homecare setting including an in-home assessment. Assessments will be conducted at baseline, three months, and six months during routine homecare visits. Dependent variables being measured include: access to primary care physicians, emergent hospitalizations/admissions, articulation of advance directives, and quality of life. Data will be collected through the participants' medical claims and records to analyze the number of emergent hospitalizations/admissions, documentation of advance directives, and number of visits to primary care physicians. To measure participants' quality of life, the Depression Self-Rating Scale and the Clinical Anxiety Scale will be utilized. Data will be compared between and within the groups via statistical analyses. The researcher will conduct pre-post comparisons of utilization and other database-derived outcomes for both groups, comparing the 12 months prior to and up to 20 months following enrollment.

### Conditions Module

**Conditions:**

- Neoplasms

- Heart Diseases

- Adrenal Cortex Diseases

### Design Module

#### Design Info

**Allocation:** NON_RANDOMIZED

**Intervention Model:** CROSSOVER

##### Masking Info

**Masking:** NONE

**Primary Purpose:** SUPPORTIVE_CARE

#### Enrollment Info

**Count:** 500

**Phases:**

- NA

**Study Type:** INTERVENTIONAL

### Arms Interventions Module

### Interventions

#### Intervention 1

**Name:** Case management

**Type:** BEHAVIORAL

### Outcomes Module

#### Primary Outcomes

**Measure:** The outcome measure for the number of emergency room visits will be calculated from the medical record counting the number of hospital emergency room visits; for access to primary physicians, the medical record will be reviewed as well.

#### Secondary Outcomes

**Measure:** The outcomes for quality of life will be evaluated from the McGill Quality of Life Questionnaire.

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

* participation in a Medicaid managed care plan
* resident of identified zip codes in Brooklyn, NY
* frequent hospitalizations and low frequency of primary doctor visits

Exclusion Criteria:

* residents outside the catchment area
* patients not being managed in a Medicaid managed care plan

**Minimum Age:** 18 Years

**Sex:** ALL

**Standard Ages:**

- ADULT

- OLDER_ADULT

### Contacts Locations Module

#### Central Contacts

**Contact 1:**

**Email:** rhilliar@mjhs.org

**Name:** Russell E Hilliard, PhD, LCSW

**Phone:** 718-491-7214

**Role:** CONTACT

**Contact 2:**

**Email:** efishman@mjhs.org

**Name:** Eliot Fishman, PhD

**Phone:** 718-491-7134

**Role:** CONTACT

#### Locations

**Location 1:**

**City:** Brooklyn

**Contacts:**

***Contact 1:***

- **Name:** Eliot Fishman, PhD

- **Role:** SUB_INVESTIGATOR

**Country:** United States

**Facility:** Metropolitan Jewish Health System

**State:** New York

**Status:** RECRUITING

**Zip:** 11220

#### Overall Officials

**Official 1:**

**Affiliation:** Maimonides Medical Center

**Name:** Barbara Paris, MD

**Role:** PRINCIPAL_INVESTIGATOR

### References Module

#### References

**Citation:** Chattopadhyay A, Bindman AB. The contribution of Medicaid managed care to the increasing undercount of Medicaid beneficiaries in the Current Population Survey. Med Care. 2006 Sep;44(9):822-6. doi: 10.1097/01.mlr.0000218835.78953.53.

**PMID:** 16932133

## Derived Section

### Condition Browse Module - Ancestors

- ID: D000002318

- Term: Cardiovascular Diseases

- ID: D000000307

- Term: Adrenal Gland Diseases

- ID: D000004700

- Term: Endocrine System Diseases

### Condition Browse Module - Browse Branches

- Abbrev: BC14

- Name: Heart and Blood Diseases

- Abbrev: All

- Name: All Conditions

- Abbrev: BC19

- Name: Gland and Hormone Related Diseases

### Condition Browse Module - Browse Leaves

- ID: M9419

- Name: Heart Diseases

- Relevance: HIGH

- As Found: Heart Disease

- ID: M3655

- Name: Adrenal Cortex Diseases

- Relevance: HIGH

- As Found: Adrenal Cortex Diseases

- ID: M3659

- Name: Adrenal Gland Diseases

- Relevance: LOW

- As Found: Unknown

- ID: M7862

- Name: Endocrine System Diseases

- Relevance: LOW

- As Found: Unknown

### Condition Browse Module - Meshes

- ID: D000006331

- Term: Heart Diseases

- ID: D000000303

- Term: Adrenal Cortex Diseases

### Misc Info Module

- Version Holder: 2024-05-24
