CATCH-UP Intervention in Increasing Cancer Screening and Prevention Care in Uninsured Patients at Community Health Centers

PRIMARY OBJECTIVES:

I. Evaluate the effect of the CATCH-UP intervention on up-to-date status of cancer screening
and preventive care received by patients.

II. Evaluate the effect of the CATCH-UP intervention on patients? insurance coverage rates.

III. Evaluate the intervention implementation process, patient and community health center
(CHC) staff acceptance and use of the CATCH-UP tools, and the patient-, provider-, and
system-level factors associated with successful implementation and sustainability of the
tools, using mixed methods.

OUTLINE: CHC clinics are randomized to 1 of 2 groups. We compare between groups and with a
matched-comparison group.

GROUP I (INTERVENTION ARM 1): Participants receive CATCH-UP tools which include a panel
management/data aggregator system that identifies patients who may be eligible for public
coverage but are not yet insured, or who are nearing coverage expiration, coupled with
automated patient outreach and communication at baseline.

GROUP II (INTERVENTION ARM 2): Participants receive CATCH-UP tools which include a panel
management/data aggregator system that identifies patients who may be eligible for public
coverage but are not yet insured, or who are nearing coverage expiration, coupled with
automated patient outreach and communication. Participants also receive additional
implementation support such as trainings, assistance with workflows, and practice
facilitation.

Matched-comparison group: A clinic-level matched comparison group will be derived from the
OCHIN membership by using propensity score matching techniques. Comparison group clinics will
not participate actively in any study activities but, as part of their member business
associate agreement with OCHIN, have already agreed to provide data through OCHIN for pre-
and post-implementation analysis in the study.

Inclusion Criteria:

- Established patients at CHC sites

- Low-income

- Ethnically diverse populations with lower rates of cancer screening compared to
national rates

- Uninsured patients

- Patients 18 to 64 years of age

- Clinics must be primary care sites, with greater than 1,000 adult patients in the past
year, be located in a state that expanded Medicaid, and have implemented the OCHIN EHR
prior to January 1, 2012