Informing Low-acuity Emergency Department Patients of Non-emergent Resources (2)

NCT07185828 | Recruiting

• 1 other identifier: 2024-0183-2
• Study Type: interventional
• Target: 8,286
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this campaign is to reduce unnecessary visits to a Geisinger emergency department (ED). In this campaign, patients will be assigned to receive or not receive outreach following ED discharge with a low-acuity visit designation. Outreach will occur via a text message the day after discharge from the ED as well as information added to the patient's after visit summary (AVS). Depending on the assigned condition, it will include calls to see their primary care provider (PCP) or use an Intelligent Triage tool. The study will assess whether ED use within the following 120 days differs across patients in different outreach conditions (current standard practice vs contact your PCP vs use Intelligent Triage). It will also examine whether patients follow through on the message-specific calls to action differently across conditions.

Conditions

Emergency Service, Hospital; Behavior Change Interventions

Outcome Measures

Primary Outcomes (1)

• Return to Geisinger ED

  ED visit (yes/no)

  within 120 days following day of discharge

Other Outcomes (8)

• PCP appointment made

  within 60 days following day of discharge

• PCP visit

  within 60 days following day of discharge

• Telehealth appointment made

  within 60 days following day of discharge

Study Arms (3)

Control

NO INTERVENTION

This arm will receive no intervention outside of usual care.

Contact your PCP

EXPERIMENTAL

Intervention content emphasizes contacting a primary care provider (content will vary slightly based on whether the patient has a Geisinger PCP)

Behavioral: Contact your PCP

Use Intelligent Triage

EXPERIMENTAL

Intervention content emphasizes using Intelligent Triage to assess symptoms.

Behavioral: Use Intelligent Triage

Interventions

Contact your PCP BEHAVIORAL

Text messages will be sent and discharge paperwork will be modified to encourage contacting a primary care provider.

Contact your PCP

Use Intelligent Triage BEHAVIORAL

Text messages will be sent and discharge paperwork will be modified to encourage using Intelligent Triage.

Use Intelligent Triage

Eligibility Criteria

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

You may qualify if:

• \>= 18 years of age
• Geisinger ED visit rated as low acuity (L4 or L5)
• Discharged from Geisinger ED in past 24 hours

You may not qualify if:

• Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient/missing contact information in the EHR or because the patient opted out
• Admitted to hospital
• Already included in intervention in past 365 days

Sponsors & Collaborators

• Geisinger Clinic: lead

Study Sites (1)

Geisinger

Danville, Pennsylvania, 17822, United States

RECRUITING

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Amir Goren, PhD

  Geisinger Clinic

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Amir Goren, PhD

CONTACT

570-214-4395; agoren@geisinger.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Patients will be aware of their own messages but not of messages sent to other patients or in other arms.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 15, 2025
• First Posted: September 22, 2025
• Study Start: April 15, 2025
• Primary Completion: May 1, 2026
• Study Completion (Estimated): August 1, 2026
• Last Updated: March 13, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)