A multi-site evaluation of primary care accessibility and utilization during covid-19

Ended Project Grant Awarded Last action

Award ID
R01HS028255
Recipient
Awarding agency
Obligated
$2,487,482

Award facts

Completion date
Funding
  • $1,987,913.49 Federal
  • $499,569.00 Non-federal
Funding agency
Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality, Department of Health and Human Services
Place of performance
Maryland, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
The objective of the proposed research is to evaluate how patient access and utilization of primary care was disrupted by covid-19 across three healthcare systems, with a focus on patients with chronic conditions. Our rigorous evaluation has three aims. Aim 1 is to determine whether patients were able to access primary care and, for those who did access care, identification of the modalities to access care (in-person, telehealth (video or phone), asynchronous communication, or multiple modalities). Further, we will identify subpopulations that were disproportionately affected including and may not have been able to access care at all. Aim 2 is to identify barriers and facilitators to digital health access across three sites. Aim 3 is to evaluate how the modality used to access primary care, or the lack of access to primary care, during covid-19 impacts future healthcare access and utilization for patients with chronic conditions, and other at-risk populations. The research effort is a unique collaborative between medstar health, stanford health care, and intermountain healthcare. This project utilizes the extensive expertise of the diverse research team which includes data scientists, human factors experts, informaticists, health disparities researchers and clinical experts in digital health. The proposal is directly aligned with ahrq's priority area of making health care accessible and safer. To achieve aims one and three we will use rigorous data science and informatics methods. To achieve aim 2, we will use a mixed methods approach that includes interviews of subject matter experts and patients from each of the three sites with a socio-technical systems model as the foundation for our interviews. Contributions from this research will include a detailed understanding of access modalities that are most frequently used, patient populations that may be disproportionately impacted by covid-19, and identification of barriers and facilitators to digital health models of care. Our rigorous dissemination plan includes communication of results to policymakers and advocacy groups, clinical leaders and other organizations that serve to improve clinical practice, as well as academic audiences. Results from aim 1 will be available within 4- 6 months of project start and the entire project will be completed in two years.

Transactions

Action Federal Non-federal Date
Amendment -$1 $0
Amendment $494,388 $0
Amendment $494,388 $0
Amendment $499,569 $0
Original award $499,569 $499,569

Subawards

Subrecipient Amount Awarded
IHC Health Services Inc. Intermountain Health - Statement of Work 1. Attend initial project kickoff meeting in February 2021 2. Attend quarterly team meetings from start of Year 1… $217,839
The Leland Stanford Junior University Stanford Health - SOW 1. Attend initial project kickoff meeting in February 2021 2. Attend quarterly team meetings from start of Year 1 through end of Year 2 of… $270,000

Quick answers

Who received award R01HS028255?

R01HS028255 was awarded to Medstar Health Research Institute Inc. by Division of Grants Management (Agency for Healthcare Research and Quality) on January 1, 2021.

How much is award R01HS028255 worth?

$2,487,482 has been obligated on R01HS028255: $1,987,913 in federal funding and $499,569 in non-federal funding.

Which agency awarded R01HS028255?

Division of Grants Management (Agency for Healthcare Research and Quality) awarded R01HS028255, with funding from Center for Evidence and Practice Improvement (Agency for Healthcare Research and Quality).

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