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Study Detail

Study ID 1010
Name South Carolina Sickle Cell Disease Access to Care Pilot Program
Contact Email Alan.Anderson@prismahealth.org
Acronym (SC)2
Period ongoing
Design Registry Study
Study PI Julie Kanter
Institution Medical University of South Carolina
URL https://medicine.musc.edu/departments/pediatrics/research/sickle-cell-research
CTGovID NA
Funding Agency Doris Duke
Grant Number NA
Overview (SC)2 is designed to use collective impact methodology to harness the current efforts of the sickle cell disease (SCD) stakeholders to create disease-specific medical homes for individuals living with SCD in South Carolina.The goals are to enhance access to care for affected individuals, educate local providers to develop knowledge and self-efficacy in treating and managing SCD, and improve cost of care through increased quality of care.
Focus Areas 1. Enhanced access to disease modifying medication
2. Improving transfusion utilization
3. Increased evidence based screening and preventative care
4. Acute care utilization
Outcomes 1. Longitudinal biologic data collection including demographics, radiologic assessments, anthropomorphic and laboratory values to improve the understanding of sickle cell disease and the relationship of the environment on patient health and well-being.
2. Acute care information and prescription refill history will be collected in order to improve individual patients’ disease management and provide population health information for patients with sickle cell disease in South Carolina. This data will also be utilized for quality assessment of the (SC)² program and for quality improvement activities.
3. We will collect patient reported outcomes including previously validated pain reporting and quality of life tools to ensure patient satisfaction and input in the (SC)² program.
4. Utilize the ECHO model to improve the quality and quantity of knowledge of providers in providing care for individuals with sickle cell disease.
5. Each patient will receive a customized individual care plan including pain medication plan available to all treating providers to enhance patient-specific treatment.
Data Location MUSC
Biospecimen Available Blood; DNA; Plasma; Serum; Urine;
Data Consent Patients will consent to the acquisition of data for statistical assessment and for permission to share individualized treatment protocols with outside providers for continuity of care.
Biospecimen Consent The patients will be asked if they are willing to participate in an optional Bio-Repository. There is no maximal amount of time in which samples can be stored but individuals consenting for the biorepository can opt for withdrawal at any time.
Contact Consent Yes, with permission on consent
Genomic Data No
Age Range 0-99
No. Participants 500
Inclusion Criteria 1. Potential subjects will be identified either from patients already seen at MUSC or who are referred to MUSC Pediatric Hematology/Oncology for treatment of sickle cell disease.
2. Patients included will be those of all ages with a diagnosis of sickle cell disease.
3. The majority of individuals living with sickle cell disease in South Carolina are African-American with limited exceptions which are why the targeted enrollment is almost entirely black/African-American. Children (<12 years of age) will be included since they also have sickle cell disease (parental consent will be required for children <18 with assent from the patients >12 years of age.
Exclusion Criteria No patients will be excluded due to co-morbidities. Only patients unable to consent who do not have a designated care-giver will be excluded.
Data ElementVariables
ASCQ-Me Pain Episode
ASCQ-Me Pain Impact
ASCQ-Me Stiffness Impact
Brief Pain Inventory (BPI)
Chronic Pain
PROMIS Neuropathic Pain Quality
PROMIS Nociceptive Pain Quality
PROMIS Pain Behavior
PROMIS Pain Interference pain_interference_1
pain_interference_2
pain_interference_3
pain_interference_4
Data ElementVariables
ASCQ-Me Healthcare Utilization
ASCQ-Me Quality of Care (QOC) qualityofcareadults_bad_experiences_emergencyroom
qualityofcareadults_courtesyrespect_doctornurse_usuallysee_past12months
qualityofcareadults_doctor_appointment_past12months
qualityofcareadults_doctornurse_usuallysee
qualityofcareadults_doctornurse_usuallysee_knowaffects_personally
qualityofcareadults_doctornurse_usuallysee_treatlot_patients
qualityofcareadults_emergencyroom_clerksreceptionists_courtesyrespect_past12months
qualityofcareadults_emergencyroom_delayavoidcare_past12months
qualityofcareadults_emergencyroom_doctorsnurses_believepain_past12months
qualityofcareadults_emergencyroom_doctorsnurses_helppain_past12months
qualityofcareadults_emergencyroom_oftencare_soonwanted_past12months
qualityofcareadults_emergencyroom_oftendoctors_care_past12months
qualityofcareadults_emergencyroom_oftennurses_care_past12months
qualityofcareadults_emergencyroom_oftensatisfied_care_past12months
qualityofcareadults_emergencyroom_painattackcrisis_past12months
qualityofcareadults_emergencyroom_rightaway_past12months
qualityofcareadults_emergencyroom_wait_paintreated_past12months
qualityofcareadults_enoughtime_doctornurse_usuallysee_past12months
qualityofcareadults_explainthings_doctornurse_usuallysee_past12months
qualityofcareadults_frequency_get_appointment_past12months
qualityofcareadults_health_insurance_avoid_care
qualityofcareadults_listencarefully_doctornurse_usuallysee_past12months
qualityofcareadults_painattackcrisis_manage_home_past12months
qualityofcareadults_ratingcare_received_past12months
qualityofcareadults_satisfiedcare_doctornurse_usuallysee_past12months
qualityofcareadults_satisfiedcarereceived_appointment_past12months
qualityofcareadults_visits_doctornurse_usuallysee_past12months
Patient Satisfaction Questionnaire (PSQ)
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