CMSL Ambulatory Sensitive Condition Nudge

NCT06798389 | Completed

• 1 other identifier: 2023-1716
• Study Type: interventional
• Target: 3,016
• Locations: 1 country
• Sites: 1

Brief Summary

The project aims to evaluate a nurse-led intervention to reduce inappropriate emergency department (ED) use among adult patients seen at Geisinger's Community Medicine Service Line (CMSL) clinics. The intervention occurs immediately following an appointment where they received a diagnosis of an ambulatory sensitive condition (ASC). The evaluation will compare eligible patients with an ASC who were randomly assigned to receive follow-up outreach from a nurse (who was automatically prompted via the Epic electronic health record system to initiate outreach) with those who were randomly assigned to receive standard care. Analyses will be intent-to-treat. The primary outcome is ED use in the week following the appointment.

Conditions

Behavioral Intervention; Emergency Department Visits; Nurse Care Coordination

Keywords

Nudge

Outcome Measures

Primary Outcomes (1)

• ED Visit (yes/no)

  Does outreach decrease ED visits?

  within 7 days following day of appointment

Other Outcomes (1)

• Nurse call to patient

  Within 7 days post-appointment

Study Arms (2)

Nurse Nudge

EXPERIMENTAL

Nurses in CMSL clinics will receive a notification to provide follow-up outreach to patients after the patient receives an ambulatory sensitive diagnosis.

Behavioral: Nurse Nudge

Control

NO INTERVENTION

Nurses in CMSL clinics will receive standard follow-up notifications, which may mean no notifications, after a patient has received an ambulatory sensitive diagnosis.

Interventions

Nurse Nudge BEHAVIORAL

Nurses will be nudged to call the patients, which may increase the likelihood that the patient receives a post-appointment follow-up call.

Nurse Nudge

Eligibility Criteria

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

You may qualify if:

• Age 18 years +
• Has a visit in CMSL with an ambulatory sensitive condition (ASC) encounter diagnosis

Sponsors & Collaborators

• Geisinger Clinic: lead

Study Sites (1)

Geisinger

Danville, Pennsylvania, 17821, United States

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Program Director

Study Record Dates

• First Submitted: January 6, 2025
• First Posted: January 29, 2025
• Study Start: January 6, 2025
• Primary Completion: April 1, 2025
• Study Completion: April 1, 2025
• Last Updated: April 24, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)