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

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores ways to improve healthcare access and outcomes, particularly for racially and culturally diverse low-income families. It tests a new health app designed to enhance patient experience and make care more affordable and efficient, comparing results with those receiving standard care (the Control group). Guardians of patients and healthcare providers, such as doctors and nurses involved in their care, can participate. As an unphased trial, it provides a unique opportunity to contribute to innovative healthcare solutions that could benefit diverse communities.

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 prior data suggests that the One-4-ALL Initiative is safe?

Research shows that the One-4-ALL Initiative aims to improve healthcare access and outcomes through new technology. This includes a health app designed to connect patients with healthcare professionals more easily. The app is part of a broader effort to reduce health inequalities, particularly for minority and low-income families.

The One-4-ALL Initiative is not a typical drug or medical treatment, so it lacks the same safety data as medications. Instead, it focuses on enhancing the patient experience and access to healthcare. Studies on similar apps and technology suggest they are generally safe, as they primarily provide information and facilitate connections rather than directly treating medical conditions. No specific reports of negative effects from using these health apps have emerged.

Since this initiative aims to improve communication and access to healthcare, safety concerns are much lower than in drug trials. Participants can feel confident that the main goal is to enhance their healthcare experience without the usual risks associated with medications. ^{1 2 3 4 5}

Why are researchers excited about this trial?

The One-4-ALL Initiative is unique because it leverages a health app to enhance healthcare access, a stark contrast to traditional methods like in-person consultations and standard care. Researchers are excited about this trial because it aims to bridge the gap in healthcare accessibility by using digital technology, potentially reaching more patients than ever before. By comparing outcomes between the app users and those receiving standard care, the hope is to demonstrate that digital interventions can be as effective, if not more so, in managing healthcare needs efficiently and conveniently.

What evidence suggests that the One-4-ALL Initiative could be effective for improving healthcare access?

Research shows that the One-4-ALL Initiative, which participants in this trial may receive, could enhance health by focusing on four main goals: better patient experiences, improved community health, lower healthcare costs, and more support for healthcare workers. Studies have found that similar approaches often provide good economic value, suggesting they can effectively address healthcare issues. By aiming to improve access for underserved communities, this initiative might help reduce health inequalities. Although direct data on this specific initiative is limited, evidence from similar programs supports its potential success. Participants in the control arm will receive standard care, allowing for a comparison of outcomes between the two groups. ^{6 7 8 9 10}

Who Is on the Research Team?

Jill Landsbaugh Kaar, PhD

Principal Investigator

University of Colorado, Denver

Are You a Good Fit for This Trial?

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

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Timeline for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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 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]

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]

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 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 '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 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]

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 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]

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