NCT04000074: CCHS-WPC

Contra Costa Health Services Whole Person Care (CommunityConnect) Program Evaluation

Status unknown NA Last updated 27 June 2019

What this trial tests

NA trial testing Telephonic Services in Social Determinants of Health in 60,000 participants. Status unknown.

Timeline

1 January 2017

Primary endpoint
31 December 2020

31 December 2021

Quick facts

Lead sponsor	Contra Costa Health Services
Phase	NA
Status	Status unknown
Study type	INTERVENTIONAL
Allocation	randomized
Design	sequential
Masking	none
Primary purpose	health services research
Enrollment	60,000
Start date	1 January 2017
Primary completion	31 December 2020
Estimated completion	31 December 2021
Sites	1 location across United States

Drugs / interventions tested

• Telephonic Services
• In-Person Services

Conditions studied

• Social Determinants of Health — all drugs for Social Determinants of Health →

Sponsor

Contra Costa Health Services

Who can join

18 and older, any sex, with Social Determinants of Health. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Contra Costa Health System's WPC Pilot Program, titled Community Connect (CMCT), delivers case management and linkage services to high-risk Medi-Cal members in Contra Costa County, California. This program is funded under the CMS/DHCS 1115 Waiver Whole Person Care (WPC) Pilot Program through 2020. High-risk individuals from the population of Contra Costa County full-scope Medi-Cal enrollees are connected with a case manager who provides linkage services to address their social determinants of health.

Program capacity is below the eligible population, so a tiered randomization strategy is used to identify enrollees and similarly risky controls (who are eligible for enrollment at later intervals). Health behaviors of enrollees and controls are tracked via electronic health records, billing claims, and other social service administrative databases to create a detailed record of post-randomization health behavior. The primary outcome of interest is avoidable utilization of emergency room and in-patient services.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. Effect of Social Needs Case Management on Hospital Use Among Adult Medicaid Beneficiaries : A Randomized Study.
   Brown DM, Hernandez EA, Levin S, De Vaan M, et al · · 2022 · cited 30× · PMID 35785543 · DOI 10.7326/m22-0074
2. Greater Covid-19 vaccine uptake among enrollees offered health and social needs case management: Results from a randomized trial.
   Knox M, Hernandez EA, Brown DM, Ahern J, et al · · 2024 · cited 5× · PMID 37775953 · DOI 10.1111/1475-6773.14229