Trial of Emergency Department Discharge With Enhanced Transitions of Care Compared to Usual Care

NCT02533856 | Completed

• 1 other identifier: 15G.242
• Study Type: interventional
• Target: 316
• Locations: 0 countries
• Sites: N/A

Brief Summary

This is a randomized controlled trial to assess the relative effectiveness of providing Enhanced Transitions of Care (ETOC) to improve patient outcomes after discharge from the Emergency Department (ED). Patients who are being discharged from the ED and have had a previous ED visit or hospital admission within the Thomas Jefferson Hospital System (TJUH or Methodist) within the past 90 days will be eligible for enrollment in this trial. Patients who consent to enrollment will be randomized to discharge by usual care or discharge with ETOC as provided by the company BoardRounds.

Conditions

Patient Discharge; Emergency Care

Outcome Measures

Primary Outcomes (1)

• Total number of ED visits, hospital admissions, and outpatient office visits as determined by medical record review and patient report

  30-day healthcare utilization will be measured by assessing the total number of ED treat-and-release visits, hospital admissions, and outpatient care visits in the 30 days after study enrollment - will be reported in aggregate and separately for each type of utilization (ED, inpatient hospital stay, office visit). Counts will be determined by medical record review for visits occurring within the health system, and will be supplemented by patient report in a 30-day survey to determine utilization outside the health system.

  30 days

Secondary Outcomes (5)

• Total number of ED visits, hospital admissions, and outpatient office visits as determined by medical record review and patient report

  9 days

• Description of types of and count (per type) of assistance received by patients in accessing needed healthcare services as assessed by patient survey

  30 days

• Description of types of and count (per type) of assistance received by patients in accessing needed healthcare services as assessed by patient survey

  9 days

• Assessment of whether patient had unmet needs in accessing needed healthcare services, as determined by patient survey

  30 days

• Assessment of whether patient had unmet needs in accessing needed healthcare services, as determined by patient survey

  9 days

Other Outcomes (1)

• Description of unmet needs in accessing needed healthcare services as assessed in a patient survey

  30 days

Study Arms (2)

Usual Care

NO INTERVENTION

Discharge from emergency department by usual care

ETOC

EXPERIMENTAL

Discharge from emergency department with increased support services provided by BoardRounds after ED discharge

Other: ETOC

Interventions

ETOC OTHER

Services provided to assist patients in accessing needed healthcare services after emergency department discharge such as scheduling appointments, finding new doctors, getting medications, or addressing problems with insurance coverage.

ETOC

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult (18 yrs and older) patients
• Have had a previous ED visit or hospital admission in the 90 days prior to the current ED visit (at Thomas Jefferson University Hospital or Methodist Hospital)
• Have just completed evaluation in the Thomas Jefferson University Hospital Emergency Department for any problem,
• Are ready for discharge from the Thomas Jefferson University Hospital ED, and
• Provide informed consent

You may not qualify if:

• Non-English speaking patients
• Patients undergoing medical clearance for a detox center or any involuntary court or magistrate order
• Patients who live outside Philadelphia area (unable to seek follow-up care in Philadelphia) or other condition known to preclude follow-up (such as no reliable access to a telephone)
• Patients in police custody or currently incarcerated individuals
• Patients who have, in their clinician's best judgment, major communication barriers such as visual or hearing impairment or dementia that would compromise their ability to give written informed consent

Sponsors & Collaborators

• Thomas Jefferson University: lead

MeSH Terms

Interventions

d,d-T80-prallethrin

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 21, 2015
• First Posted: August 27, 2015
• Study Start: August 1, 2015
• Primary Completion: May 1, 2016
• Study Completion: May 1, 2016
• Last Updated: October 21, 2016

Record last verified: 2016-10