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Innovative Methods for Parents and Clinics to Create Tools (IMPACCT) for kids' care
Investigator (PI): DeVoe, Jennifer E
Performing Organization (PO): (Current): Oregon Community Health Information Network (OCHIN) / (541) 943-2500
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2013
Final Year: 2017
Record Source/Award ID: PCORI/308
Funding: Total Award Amount: $1,802,033
Award Type: Grant
Award Information: PCORI: More information and project results (when completed)
Abstract: Background: Health insurance is important for children. Public insurance programs are available to many children, but some families report confusion about how to get and keep this insurance. Community health clinics can help families get and keep health insurance for their children. Objectives: We will work with families, policy makers, and community health care providers to develop and test new computer tools to help people in the clinic find pediatric patients in need of insurance and communicate with their families about public insurance programs. These tools will be based on technologies currently used to help patients and clinics manage chronic diseases. We will test the tools by comparing two clinics using the tools and two clinics not using the tools. We will look to see if children in the clinics using the tools are more likely to have health insurance and also more likely to receive certain health care services, compared to children in the clinics without such tools. Methods: First, we will ask families, health care providers, and policy makers about the best types of computer tools to support insurance outreach by community health clinics. We will also visit clinics to understand how they could best use these tools. We will build the tools based on this feedback. Second, we will ask some families and health care providers to try out the tools, to make sure they are easy to use and helpful in meeting their needs. When families and health care providers are satisfied with the tools, we will have two clinics begin using the tools. Next, we will look at information from electronic medical records and insurance records to see if children from these two clinics using the tools have higher rates of insurance coverage and of needed health care services after the tools are put into place. We will also compare the overall rates of insurance and health care services of the children in the two clinics that used the new tools with children in the two clinics that are not using the tools. We will also ask health care providers and families about how they use the tools, whether they like them, and if they think the tools work well to help families get and keep health insurance for their children. Importance: If computer tools built in this study are proven to work well, they will help clinics and families improve health insurance coverage and health care for children. This study will take place in a large network of community health centers, so we will be able to quickly spread the tools to more than 500,000 families in our network. We will build the tools in a way that they can be used by many other clinics with computer capabilities.
MeSH Terms:
  • Access to Information
  • Child
  • Child Health Services /*organization & administration
  • Community Health Services /*organization & administration
  • Electronic Health Records
  • Health Policy
  • * Health Services Accessibility
  • Humans
  • Insurance, Health /*organization & administration
  • Parents
  • Pediatrics /*organization & administration
  • Program Development
  • Software
Country: United States
State: Oregon
Zip Code: 97201
UI: 20142235
CTgovId: NCT02298361
Project Status: Completed
Record History: ('2017: Project extended to 2017',)