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OpenTrials
Completed

NCT Number: NCT06798389

CMSL Ambulatory Sensitive Condition Nudge

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.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Geisinger

Danville, Pennsylvania, 17821, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Treatment and study plan

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.

Primary outcomes

  1. ED Visit (yes/no)

    Time frame: within 7 days following day of appointment

    Does outreach decrease ED visits?

Other outcomes

  1. Nurse call to patient

    Time frame: Within 7 days post-appointment

    Does the nurse nudge increase post-appointment nurse calls to patients?

Sponsors and collaborators

Lead sponsor

Geisinger Clinic

Other

Registry information

Official study title

Nurse Follow-up to Reduce Inappropriate Emergency Department Utilization in Adult Patients Seen for Ambulatory Sensitive Conditions in CMSL

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jan 29, 2025
Registry last updated
Apr 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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