Evidence map›Paper›PMID 31646214›Full record

ArticleContemporary clinical trials communications2019

Study protocol for a Community Health Worker (CHW)-led comprehensive neighborhood-focused program for medicaid enrollees in detroit.

Michele Heisler, Adrienne Lapidos, James Henderson, Rebeca M Guzman, Jason Wolfe, Patricia Meyer, David Law, Edith C Kieffer, Caleb Ernst, Valentina Djelaj and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03924713 (Evaluation of a Community Health Worker), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03924713 completednot on this map

Evaluation of a Community Health Worker (CHW)-Led Comprehensive Neighborhood-Based Program for Medicaid Enrollees in Detroit

TypeobservationalSponsorUniversity of MichiganRan2018 to 2020Enrolled198ConditionsHigh Health Care-utilizing Medicaid BeneficiariesArmsSupportive services
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Michele HeislerVeterans Affairs Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Road, Ann Arbor, MI, 48105, USA.
Adrienne LapidosDepartment of Psychiatry, University of Michigan Medical School, 1600 Plymouth Road, Ann Arbor, MI, 48109, USA.
James HendersonConsulting for Statistics Computing & Analytics Research, University of Michigan, 3550 Rackham, 915 E. Washington St, Ann Arbor, MI, 48109, USA.
Rebeca M GuzmanDetroit Health Department, 3245 E. Jefferson, Suite 100, Detroit, MI, 48203, USA.
Jason WolfeUniversity of Michigan Institute for Healthcare Policy & Innovation, 2800 Plymouth Road, North Campus Research Complex, Building 16, Ann Arbor, MI, 48109, USA.
Patricia MeyerUniversity of Michigan Institute for Healthcare Policy & Innovation, 2800 Plymouth Road, North Campus Research Complex, Building 16, Ann Arbor, MI, 48109, USA.
David LawJoy-Southfield Community Development Corp, 18917 Joy Road, Detroit, MI, 48228, USA.
Edith C KiefferUniversity of Michigan School of Social Work, 1080 South University, Ann Arbor, MI, 48109, USA.
Caleb ErnstUniversity of Michigan Institute for Healthcare Policy & Innovation, 2800 Plymouth Road, North Campus Research Complex, Building 16, Ann Arbor, MI, 48109, USA.
Valentina DjelajDetroit Health Department, 3245 E. Jefferson, Suite 100, Detroit, MI, 48203, USA.
Joneigh KhaldunDetroit Health Department, 3245 E. Jefferson, Suite 100, Detroit, MI, 48203, USA.
John Z AyanianDepartment of Internal Medicine, University of Michigan Medical School, 1600 Plymouth Road, Ann Arbor, MI, 48109, USA.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

Residents of low income neighborhoods disproportionately experience poor health, and many have unmet social needs. Clinical trials have shown the efficacy of Community Health Worker (CHW) programs in improving outcomes for a variety of health conditions. An important next step is developing and evaluating financially sustainable CHW program models in real-life settings. This program evaluation examines health care utilization among participants in a geographically targeted program led by salaried CHWs from three Medicaid health plans. Beneficiaries who reside in the Cody Rouge neighborhood of Detroit and had more than 3 Emergency Department (ED) visits or at least 1 ambulatory care-sensitive hospitalization in the prior 12 months are eligible for the program. Health plan CHWs assigned to the program reach out to eligible beneficiaries to provide an assessment; link them to resources; and provide follow-up. At 12-month follow up, claims data on ED visits, ambulatory care-sensitive hospitalizations, primary care visits, and related costs will be compared between beneficiaries who participated and eligible beneficiaries randomized to receive usual outreach. We hypothesize that patients enrolled in the CHW intervention will experience a reduction in acute care usage resulting in cost savings compared to those receiving usual health plan outreach. This study is among the first to evaluate the impact on health care utilization of augmented services delivered by health plan CHWs for high-utilizing health plan members as part of a health plan-community-academic partnership. This study will provide important information on CHW program sustainability and provide insights into effective implementation of such programs.

trial registrationNCT03924713.

Indexed as

CHW, Community Health WorkerCommunity health workersDetroitED, Emergency DepartmentHealth plan utilizationIRB, Institutional Review BoardMedicaidProgram evaluationUM, University of Michigan

Identifiers

PMID31646214
PMCPMC6804462

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.