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Mobile Telecare for Underserved African-American Elders with Heart Failure

Award Number: R43MD008661
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/25/2013
PERIOD OF PERFORMANCE END DATE: 09/30/2016

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Mobile Telecare for Underserved African-American Elders with Heart Failure - DESCRIPTION (provided by applicant): Older adults who are dually eligible for Medicare and Medicaid are among the sickest and poorest individuals covered in either program. Although they have a significantly higher prevalence of chronic conditions, such as heart failure (HF) than all other Medicare beneficiaries, as few as 2% of dual eligible patients receive the type of case management or care coordination that can prevent hospitalizations and emergency department visits for acute medical problems. African-Americans are particularly at risk, having the highest rates of HF-related hospitalizations compared to all other Medicare beneficiaries. In this Phase I SBIR, we will conduct a pilot clinical trial to test a care coordination program designed for African-American dual eligible older adults with HF who have been discharged from a regional hospital and who are being cared for by community-based health care providers. The proposed Mobile Heart Care Coordination (MHCC) program integrates telemonitoring through a Bluetooth-enabled device and mobile phone-based communication technologies that connect hospital-based cardiac care teams with community-based providers. The goal of the program is to provide coordinated post-discharge care in order to reduce potentially-avoidable hospitalizations and emergency room visits. This Phase I SBIR will develop and test the MHCC intervention's feasibility and short-term outcomes for dual eligible African-Americans with HF. In a Phase II application, we will conduct a randomized clinical trial with African-American dual-eligible older adults with HF to determine whether participants in the MHCC- enhanced program are less likely to be readmitted within 30 days of hospital discharge (primary hypothesis) and less likely to access emergency room care (secondary hypothesis) compared to the comparison group (usual care). The Phase I application will provide the necessary data to determine the sample size required for the larger adequately powered randomized controlled trial in Phase II. The subsequent Phase II application will result in an innovative, cost-effective, and nationally replicable care coordination model aimed at reducing potentially-avoidable hospitalizations and emergency room visits, and improving quality of care for all African- American dual eligible patients with HF.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2017 ( Subtotal = $0 )
2017	2014	ENVIRONMENT AND HEALTH GROUP, INC.	1280 MASSACHUSETTS AVE SUITE#203	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	2	2/15/2017	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2016 ( Subtotal = $0 )
2016	2014	ENVIRONMENT & HEALTH GROUP, INC	77 SHATTUCK ROAD	WATERTOWN	MA	02472	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	2	3/16/2016	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2014 ( Subtotal = $194,740 )
2014	2014	ENVIRONMENT & HEALTH GROUP, INC	77 SHATTUCK ROAD	WATERTOWN	MA	02472	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	2	3/31/2014	NON-COMPETING CONTINUATION	$194,740
														Subtotal = $194,740

Issue Date FY: 2013 ( Subtotal = $199,452 )
2013	2013	ENVIRONMENT & HEALTH GROUP, INC	77 SHATTUCK ROAD	WATERTOWN	MA	02472	MIDDLESEX	USA	Minority Health and Health Disparities Research	000	1	9/25/2013	NEW	$199,452
														Subtotal = $199,452

Grand Total All Awards = $394,192

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Mobile Telecare for Underserved African-American Elders with Heart Failure

Award Number: R43MD008661

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/25/2013

PERIOD OF PERFORMANCE END DATE: 09/30/2016

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