Integrated Telemedicine Program Evaluation

NCT07042477 | Recruiting

• 1 other identifier: 2024-0554
• Study Type: interventional
• Target: 3,200
• Locations: 1 country
• Sites: 1

Brief Summary

This project will evaluate a virtual, on-demand telemedicine program for High emergency department (ED) utilizers with comorbid physical health conditions and behavioral health correlates. Researchers will randomize patients to have either full access to the full intervention (treatment group) or to receive only standard care (control group). Analyses will be intent-to-treat. The primary outcome is the number of ED visits 120 days after the first Best Practice Alert (BPA) firing. The research team plans to enroll 3200 patients in this study. However, randomization may end due to system constraints on December 31, 2025 before reaching that target. This sample provides 80% power to detect a 35% relative reduction in ED utilization using a two-tailed test with an alpha of .15, assuming 40% compliance with the program.

Conditions

Behavioral Intervention; Emergency Department Visits; Telemedicine

Outcome Measures

Primary Outcomes (1)

• Emergency Department Visits

  Number of emergency department visits

  within 120 days of the initial BPA firing

Other Outcomes (1)

• Health-related quality of life (HRQoL)

  Within 120 days of randomization

Study Arms (2)

Integrated Telemedicine Program

EXPERIMENTAL

Patients will be invited to participate in the integrated telemedicine program through text, email, and/or phone calls.

Behavioral: Integrated Telemedicine Program

Control

NO INTERVENTION

Patients will receive only standard care and will receive no invitation to participate in the integrated telemedicine program.

Interventions

Integrated Telemedicine Program BEHAVIORAL

The integrated telemedicine program is short-term bridge support provided by a virtually accessible team, including a behavioral health provider (Health Psychologist or Licensed Clinical Social Worker \[LCSW\]) and Community Health Worker (CHW). Once stabilized, members transition from bridge support to ongoing care with a Geisinger Health System Primary Care Provider and Behavioral Health Provider.

Integrated Telemedicine Program

Eligibility Criteria

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

You may qualify if:

• + years old
• + Geisinger ED visits in the last 6 months
• Geisinger Health Plan (GHP) insurance member
• Has a Geisinger PCP
• Patient is being seen at one of the following facilities: Geisinger Lewistown Hospital, Geisinger Medical Center, Geisinger Bloomsburg Hospital, Geisinger Jersey Shore Hospital, Geisinger Community Medical Hospital, Geisinger Wyoming Valley, Geisinger Medical Center Muncy, Geisinger Shamokin Ach Hospital, Geisinger South Wilkes Barre

You may not qualify if:

• Patient being seen in departments determined ineligible by the study team
• Patient is diagnosed with alcohol and substance-related disorders
• Patient is going to receive inpatient care
• Patient is coded in the ED as Level 1 (i.e., seeking life-saving measures)
• Patient has an Intellectual Disability or Traumatic Brain Injury
• Patient is actively seeing a BH provider

Sponsors & Collaborators

• Geisinger Clinic: lead

Study Sites (1)

Geisinger Clinic

Danville, Pennsylvania, 17822, United States

RECRUITING

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: Principal Investigator

Study Record Dates

• First Submitted: June 18, 2025
• First Posted: June 29, 2025
• Study Start: June 18, 2025
• Primary Completion: April 30, 2026
• Study Completion: April 30, 2026
• Last Updated: June 29, 2025

Record last verified: 2025-06

Locations

US (1)