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

NCT07185828 — Not applicable, Recruiting, 8286 participants, Geisinger Clinic

ClinicalTrials Daily  ·  Areas  ·  Conditions  ·  Drugs  ·  Sponsors  ·  

Informing Low-acuity Emergency Department Patients of Non-emergent Healthcare Resources Following Discharge to Decrease Emergency Department Utilization (2)

RegistryNCT07185828
StatusRecruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: none, health services research
Enrollment8286 (Estimated)
SponsorGeisinger Clinic (Other)
ConditionsEmergency Service, Hospital, Behavior Change Interventions
InterventionsContact your PCP, Use Intelligent Triage (Behavioral)
Datesstart 2025-04-15, primary completion 2026-07-01 (estimated), completion 2026-07-01 (estimated), first posted 2025-09-22, last updated 2026-07-23
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Emergency Service, Hospital All trials for Behavior Change Interventions All trials of Contact your PCP All trials of Use Intelligent Triage

-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.

Expand all sections  ·  Collapse all

+Arms and interventions

ArmTypeInterventionsDescription
ControlNo interventionThis arm will receive no intervention outside of usual care.
Contact your PCPExperimentalBehavioral: Contact your PCPIntervention content emphasizes contacting a primary care provider (content will vary slightly based on whether the patient has a Geisinger PCP)
Use Intelligent TriageExperimentalBehavioral: Use Intelligent TriageIntervention content emphasizes using Intelligent Triage to assess symptoms.
  • 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.

+Outcome measures

Primary outcomes

  • Return to Geisinger ED [within 120 days following day of discharge]: ED visit (yes/no)

Other outcomes

  • PCP appointment made [within 60 days following day of discharge]: PCP appointment made (yes/no)
  • PCP visit [within 60 days following day of discharge]: PCP appointment attended (yes/no)
  • Telehealth appointment made [within 60 days following day of discharge]: Telehealth appointment made (yes/no)
  • Telehealth appointment attended [within 60 days following day of discharge]: Telehealth appointment attended (yes/no)
  • Call made to PCP [within 60 days following day of discharge]: Record of patient call to PCP (yes/no)
  • Urgent care visit [within 60 days following day of discharge]: Urgent care appointment attended (yes/no)
  • Used Intelligent Triage [within 60 days following day of discharge]: Used the Intelligent Triage tool (yes/no)
  • Any of the suggested actions taken [within 60 days following day of discharge]: PCP called or visited, telehealth appointment attended, or PCP or telehealth appointment made, or Intelligent Triage tool used (yes/no)

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

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

Exclusion Criteria:

* 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

+Locations (1)

FacilityCityCountryStatus
GeisingerDanville, PennsylvaniaUnited StatesRecruiting

+Study documents

+Investigators