Clinical trial · Observational
The Impact of Patient Complexity on Healthcare Utilization
NCT03327896CI-TRIAL-00030150unknownClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Healthcare providers are routinely being assessed for metrics designed to assess the quality of the care they deliver. There is growing consensus that these measurements, which typically assess the percentage of patients meeting a specific standard of care, should be adjusted for the clinical complexity of the providers. This study will assess whether adjusting for the social complexity of the patient panel adds significantly to adjustment for clinical complexity in explaining apparent differences in quality of care provided by Primary care providers and clinics.
Conditions
Conditions (6)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Alcohol and Drug Screening | — | UNRESOLVED | — |
| Colorectal Cancer Screening NQF 0034 | — | UNRESOLVED | — |
| Diabetes Mellitus NQF 0059 | — | UNRESOLVED | — |
| Emergency Department Utilization | — | UNRESOLVED | — |
| Primary Care Quality Metrics | — | UNRESOLVED | — |
| Well Child Visits in First 15 Months of Life NQF 1392 | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Charlson score and Community Social Deprivation | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (4)
- label
- OCHIN EHR
- description
- Patients who were established patients at OCHIN Primary Care Clinics in 2015 and had a face to face visit at the clinic in 2015. Inclusion criteria for specific outcomes varies by criteria for demoninator specification for the metric.
- interventionNames
- Other: Charlson score and Community Social Deprivation
- label
- OneFlorida EHR
- description
- Patients who were established patients at OneFlorida Primary Care clinics in 2015 and had a face to fact visit at the clinic in 2015. Inclusion criteria for specific outcomes varies by criteria for demoninator specification for the metric.
- interventionNames
- Other: Charlson score and Community Social Deprivation
- label
- Oregon Medicaid
- description
- Clients who were continuously insured through Oregon Medicaid in 2015 and had a claim with an Evaluation and Management Current Procedure Terminology (CPT) code indicating an office visit listing a Primary Care provider as the performing provider. Inclusion criteria for specific outcomes varies by criteria for demoninator specification for the metric.
Eligibility
Eligibility (as posted)
- Sex
- All
Show eligibility criteria text
Inclusion criteria for clinics: Clinics must be a clinic that offers Primary Care (Family Medicine Clinics, Pediatrics Clinics, General Practice Clinics, Internal Medicine clinics that are not limited to a subspecialty focus, and multi-specialty clinics that include primary care providers as part of a comprehensive care team.) Clinics must have implemented their EHR by 1/1/2014. Inclusion criteria for patients: EHR Patients must be established patients within a health care system: at least one ambulatory visit to an included clinic in 2015 and at least 1 visit to a primary care clinic within the same health system prior to that visit. Inclusion criteria for patients for Medicaid based Outcomes: Patient must have been continuously covered by Medicaid in 2015 and have had at least 1 visit billed as an office visit in 2015 with a provider identified as a primary care provider and at least 1 prior claim billed to the same provider. Patients must meet the age/condition criteria for the assessment of at least 1 secondary outcome. Exclusion Criteria: Exclusion criteria for patients: Patients with no geocoded address on file will be excluded from the analysis. Exclusion criteria for patients for Medicaid based Outcomes: Patient with Medicaid coverage gaps of \>45 days will be excluded from theses analyses. Exclusion criteria for providers: Providers with \<20 patients in any Quality metric denominator.
References
Publications (1)
- BACKGROUNDHughes LS, Phillips RL Jr, DeVoe JE, Bazemore AW. Community Vital Signs: Taking the Pulse of the Community While Caring for Patients. J Am Board Fam Med. 2016 May-Jun;29(3):419-22. doi: 10.3122/jabfm.2016.03.150172. PMID 27170802