Regionalized Pediatric Emergency Care in Rural Pennsylvania
OUTREACH
1 other identifier
interventional
5,000
1 country
1
Brief Summary
The overall goal of this project is to develop and evaluate an organized, regional system of pediatric emergency care in rural western Pennsylvania.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2012
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2012
CompletedFirst Submitted
Initial submission to the registry
January 21, 2013
CompletedFirst Posted
Study publicly available on registry
January 24, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2016
CompletedOctober 27, 2016
October 1, 2016
4 years
January 21, 2013
October 25, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Average distance from home to the nearest facility with specialized pediatric emergency care capabilities
This population-based outcome will act as a measure of access and relates to HRSA Maternal Child Health Bureau performance measure AHS-8 and AHS-9 (access to pre-hospital EMS and wait times)
One-year
Secondary Outcomes (4)
Incidence of emergency transfers to CHP after an index community ED visit
90 days
Incidence of emergency transfers to CHP that do not result in a hospital admission
90 days
Total health care encounters outside the county within three months after an index community ED visit
90 days
Mortality after an index community ED visit for specified high-risk conditions (trauma, sepsis, and in the chronic disease population)
90 days
Study Arms (2)
Multicomponent intervention
EXPERIMENTALHospitals in the experimental arm will receive a four-component intervention that integrates local education, community outreach, telemedicine and protocolized triage and transport
Control
NO INTERVENTIONHospitals in the control arm will receive usual care.
Interventions
Develop, implement and evaluate an organized system of regional pediatric emergency care in rural Western Pennsylvania using four pillars: education, community, protocolized triage and transport, and telemedicine.
Eligibility Criteria
You may qualify if:
- Pennsylvania
- Medicaid beneficiary
- Less than or equal to 18 years of age
You may not qualify if:
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Pittburgh Medical Center
Pittsburgh, Pennsylvania, 15261, United States
Related Publications (2)
Lorch SA, Myers S, Carr B. The regionalization of pediatric health care. Pediatrics. 2010 Dec;126(6):1182-90. doi: 10.1542/peds.2010-1119. Epub 2010 Nov 1.
PMID: 21041285BACKGROUNDBerger E. Growing pains: Report notes pediatric emergencies need greater emphasis. Ann Emerg Med. 2006 Aug;48(2):143-4. doi: 10.1016/j.annemergmed.2006.06.024. No abstract available.
PMID: 16953527BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Jeremy M Kahn, MD, MS
University of Pittsburgh
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Critical Care, Medicine and Health Policy & Management
Study Record Dates
First Submitted
January 21, 2013
First Posted
January 24, 2013
Study Start
June 1, 2012
Primary Completion
June 1, 2016
Study Completion
June 1, 2016
Last Updated
October 27, 2016
Record last verified: 2016-10