One-4-ALL Initiative for Healthcare Access

Overseen By Jill Landsbaugh Kaar, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Colorado, Denver

Compensation: Varies

Number of Visits: Unknown

100 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the One-4-ALL Initiative treatment?

The 'continuum of care' project showed that improving communication and collaboration among healthcare providers can reduce unplanned hospital readmissions, which suggests that similar approaches in the One-4-ALL Initiative might also improve healthcare access and outcomes. ^{1 2 3 4 5}

How does the One-4-ALL Initiative treatment differ from other treatments for this condition?

The One-4-ALL Initiative treatment is unique because it focuses on creating a single, standardized process for accessing healthcare services, ensuring equal access for everyone regardless of their location. This approach is different from traditional treatments as it emphasizes improving healthcare access and integration rather than focusing solely on medical interventions. ^{6 7 8 9 10}

What is the purpose of this trial?

This study aims to improve health outcomes of individuals and populations, enhance the patient experience, reduce the per capita cost of care, and ensure the well-being of our healthcare providers (quadruple aim). These goals are increasingly difficult to achieve, given the challenges of changes to workflow, staffing shortages, and increased costs brought on by the COVID-19 pandemic. Further, the pandemic brought to light the critical need to transform healthcare access for our racially and culturally minoritized and low-income families that have long been victims of health disparities, specifically with poorer health outcomes.

Research Team

Jill Landsbaugh Kaar, PhD

Principal Investigator

University of Colorado, Denver

Eligibility Criteria

The One-4-ALL Initiative is for all guardians of patients, including family members or friends responsible for their care, as well as healthcare providers like surgeons, doctors, and nurses serving these patients.

Inclusion Criteria

It seems like there might be some information missing from the criterion you've provided. It's unclear what specific criteria this is referring to. Can you provide additional context or details?

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Implementation of the health app to increase patient throughput and reduce administrative burdens

12 weeks

Ongoing app usage and monitoring

Follow-up

Participants are monitored for healthcare quality, provider satisfaction, and patient satisfaction post-intervention

4 weeks

Treatment Details

Interventions

• Control
• One-4-ALL Initiative

Trial Overview This trial tests the One-4-ALL Initiative against a control group to see if it can improve health outcomes, patient experiences, reduce healthcare costs and support healthcare provider well-being amidst challenges such as COVID-19.

Participant Groups

Group I: One-4-ALL Initiative Active Control 1 Intervention

The health app arm will pilot the intervention and key outcome measures will be compared between the Health App group and the placebo control.

Group II: Control Placebo Group 1 Intervention

Will receive standard care.

Who Is Running the Clinical Trial?

University of Colorado, Denver

Lead Sponsor

Trials

1,842

Recruited

3,028,000+

Findings from Research

The 'continuum of care' project successfully reduced unplanned hospital readmissions from 5.0% to 3.45% annually, demonstrating its efficacy in improving patient outcomes.

The project enhanced communication among healthcare providers and patients, leading to a more integrated and collaborative care model that addresses patient needs beyond the hospital setting.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Readmission study leads to continuum of care. Bean, P., Waldron, K.[2004]

The Advocate Health Partners program integrates clinical performance measures and cost-effectiveness into a 'pay for performance' (P4P) model, which incentivizes healthcare providers to improve care for chronic diseases and enhance patient satisfaction and safety.

Key strategies for improving clinical performance include using patient registries, clinical protocols, educational outreach, staff training, and ongoing feedback, all supported by an incentive program that encourages both individual and collaborative efforts among healthcare providers.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Proven methods to achieve high payment for performance. Patel, PH., Siemons, D., Shields, MC.[2019]

The Partnership for Patients initiative aims to significantly enhance patient safety by reducing preventable adverse events by 40% and hospital readmissions by 20% across U.S. hospitals.

The initiative includes a comprehensive measurement strategy to track progress, support local quality improvements, provide real-time feedback, and evaluate the overall impact on patient care outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An overview of measurement activities in the partnership for patients. Hackbarth, AD., Munier, WB., Eldridge, N., et al.[2022]

The 'Enhancing Care for Patients with Asthma' program led to a significant reduction in asthma-related emergency room visits by 37.7% and hospitalizations by 47.1% during the 12-month implementation period, based on a study of 1,828 patients across multiple states.

This quality improvement initiative demonstrates its effectiveness in enhancing asthma care and suggests that it could be beneficial if implemented in other healthcare settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Reducing potentially preventable health events among patients with asthma through multi-state, multi-center quality improvement program. Rojanasarot, S., Carlson, AM., St Peter, WL., et al.[2021]

The pilot study involved 28 out of 131 invited patients with multimorbidity, who received a comprehensive review and follow-up from a dedicated care coordination team, resulting in mixed short-term outcomes and recommendations for medication and specialist involvement.

Key uncertainties identified include how to effectively identify patients needing care coordination and the minimum data required for effective intervention, suggesting a need for refined recruitment strategies to better target those who would benefit most.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A hospital care coordination team intervention for patients with multimorbidity: A practice-based, participatory pilot study. Verhoeff, M., de Groot, JF., Peters-Siskens, H., et al.[2023]

The Medical Access to Service project aims to improve patient access to primary care and specialist services in Alberta by creating a centralized access and triage system across various medical specialties.

By implementing standardized processes and prioritization tools, the project seeks to ensure equal access to healthcare for all Albertans, regardless of their location.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving patient access to medical services: preventing the patient from being lost in translation. Bichel, A., Erfle, S., Wiebe, V., et al.[2019]

The implementation of four integrated care services for chronic patients in Europe showed significant improvements in health outcomes, including sustained rehabilitation effects for patients with obstructive pulmonary disease and reduced hospitalizations for chronic respiratory patients.

Key factors influencing the success of these services included effective change management, appropriate technological approaches, and addressing legal issues, highlighting the need for tailored deployment strategies in different healthcare settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Integrated care services: lessons learned from the deployment of the NEXES project. Hernández, C., Alonso, A., Garcia-Aymerich, J., et al.[2022]

A survey of 18 public hospitals revealed that safety-net systems are facing significant challenges in delivering specialty care, especially with the increased patient load following the Affordable Care Act.

The study proposes a framework aimed at improving access to specialty care by focusing on population health planning, highlighting the need for strategic improvements in these strained healthcare systems.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Specialty Care Access in the Safety Net-the Role of Public Hospitals and Health Systems. Makaroun, LK., Bowman, C., Duan, K., et al.[2022]

The home care program (Choices for Healthy Aging) significantly improved satisfaction with medical care among older adults at risk of hospitalization, with a notable difference in satisfaction scores compared to usual care recipients.

Participants in the home care program had a lower hospitalization rate (25.6%) compared to those receiving usual care (37.1%), indicating that home care can effectively reduce hospital admissions for this high-risk group.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Home care program for patients at high risk of hospitalization. Levine, S., Steinman, BA., Attaway, K., et al.[2021]

In a study of seven communities, Ascension Health successfully improved health care access for low-income individuals by implementing a five-step model that enhanced service tracking, expanded capacity, and coordinated care, leading to significant financial returns, such as $5.50 for every dollar spent on asthma care in Austin, Texas.

Despite these successes, challenges such as provider competition, clinician participation, and sustainable funding remain, highlighting the need for ongoing efforts to address access issues in safety-net health care systems.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving health care access for low-income people: lessons from ascension health's community collaboratives. Felland, LE., Ginsburg, PB., Kishbauch, GM.[2018]

References

1. United States pubmed.ncbi.nlm.nih.gov

Readmission study leads to continuum of care. [2004]

2. United States pubmed.ncbi.nlm.nih.gov

Proven methods to achieve high payment for performance. [2019]

3. United States pubmed.ncbi.nlm.nih.gov

An overview of measurement activities in the partnership for patients. [2022]

4. England pubmed.ncbi.nlm.nih.gov

Reducing potentially preventable health events among patients with asthma through multi-state, multi-center quality improvement program. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

A hospital care coordination team intervention for patients with multimorbidity: A practice-based, participatory pilot study. [2023]

6. Canada pubmed.ncbi.nlm.nih.gov

Improving patient access to medical services: preventing the patient from being lost in translation. [2019]

7. England pubmed.ncbi.nlm.nih.gov

Integrated care services: lessons learned from the deployment of the NEXES project. [2022]

8. United States pubmed.ncbi.nlm.nih.gov

Specialty Care Access in the Safety Net-the Role of Public Hospitals and Health Systems. [2022]

9. United States pubmed.ncbi.nlm.nih.gov

Home care program for patients at high risk of hospitalization. [2021]

10. United States pubmed.ncbi.nlm.nih.gov

Improving health care access for low-income people: lessons from ascension health's community collaboratives. [2018]