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

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorGeisinger Clinic

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

>= 18 years of age

Geisinger ED visit rated as low acuity (L4 or L5)

Discharged from Geisinger ED in past 24 hours

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • Contact your PCP

    Behavioral

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

  • Use Intelligent Triage

    Behavioral

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

Treatment groups

8,286 Participants
are divided into 3 treatment groups
Group A: ControlNo intervention 0 interventions
Group B: Contact your PCPExperimental treatment 1 intervention
Group C: Use Intelligent TriageExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Return to Geisinger ED

ED visit (yes/no)

Time frame
within 120 days following day of discharge

Secondary outcomes

Other outcomes

1

PCP appointment made

PCP appointment made (yes/no)

Time frame
within 60 days following day of discharge
2

PCP visit

PCP appointment attended (yes/no)

Time frame
within 60 days following day of discharge
3

Telehealth appointment made

Telehealth appointment made (yes/no)

Time frame
within 60 days following day of discharge
4

Telehealth appointment attended

Telehealth appointment attended (yes/no)

Time frame
within 60 days following day of discharge

Sponsors and contacts

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