Table 1.
Protocols | Original | Planning | Early Implementation | Late Implementation |
---|---|---|---|---|
Region | ||||
Region 1 | x | x | x | x |
Region 2 | x | |||
Reach: # of counties | 1 | 1 | 8 | 9 |
Reach: large, urban underserved | x | |||
Recruiting Agencies | ||||
MCOs 1-4 (Region 1) | x | x | x | x |
State Medicaid (Region 1) | x | x | ||
MCO 5 (Region 2) | x | |||
Data Collection and Measures | ||||
Home Visits | 5 | |||
Phone | 12 | |||
Clinic visits | 2 | 2 | 2 | |
Surveys | 5 | 5 | 5 | 5 |
Doser(™) | 5 | |||
Spirometry | 5 | 2 | 2 | 2 |
Claims Data | x | x | x | x |
Internet usage (CHESS group only) | x | x | x | x |
Diaries (number) | 1 | 5 | 5 | 5 |
Asthma Control Questionnaire (ACQ | 12 1 | 5 2 | 5 2 | 5 2 |
Symptom-free days | 12 1 | 5 3 | 5 3 | 5 3 |
Run-in/Pre-Enrollment Criteria | ||||
Diary completed % | 70% | |||
Diary Returned | x | x | Partial, as needed | No |
Diary evidence of asthma severity | x | |||
Phone ACQ | x | |||
Subject Identification, Consent | ||||
Claims data algorithm | Strict | Expanded | Expanded | Expanded |
Statistician review 4 | x | x | ||
Consent/assent | Clinic | Clinic | Clinic | |
CHESS training | ||||
Home (individual) | x | x | x | x |
Phone (individual) | x | x | ||
Group 5 | x |
Phone call;
Added to Survey;
Added to Diary Region;
MCOs only;
Region 2 only