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OpenTrials
Completed

NCT Number: NCT03204643

Evaluation of Behavioral Health-Virtual Patient Navigation Team (BH-VPN)

Patients who present to one of the participating EDs with a telepsychiatric consult performed will be treated and followed per the behavioral health virtual patient navigation pathway (BH-VPN) or usual care. The BH-VPN is inclusive of several components which will all be consistently applied to patients randomized to the intervention, as well as having access to behavioral health trained patient navigators. These key components are often deployed inconsistently as a part of usual care, but per the intervention, will be completed in totality for subjects who are assigned to and participate in the BH-VPN plan.

This study includes a qualitative sub-study to measure perceptions of the impact of the BH-VPN on readmission rates and patient outcomes, experiences with the services provided by the BH-VPN, and provider and clinician ideas for how to improve the services provided by the BH-VPN.

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Key information

Conditions

Mental Health Behavior Personal Satisfaction Psychological Well-Being

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Carolinas Healthcare System - Pineville, Charlotte, North Carolina, United States

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Present at a participating ED
  • Completed telepsychiatric consult as captured in the EMR
  • Completed telepsychiatric consult Monday - Friday during Navigator's potential hours of operation.

Exclusion criteria

  • None per the protocol

Treatment and study plan

BH-VPN

Behavioral

A bundle of usual care components, applied consistently and completely, along with access to behavioral health specific patient navigators and navigation services.

Primary outcomes

  1. Emergency Department to Inpatient Conversion Rate

    Time frame: 5 days

    admission from the Emergency Department with behavioral health consult completed, to an inpatient or observation setting.

Secondary outcomes

  1. Quality, Comfort, and Care (QCC) Defined Readmission Rate

    Time frame: 30 days

    readmission within 30 days to the same facility

  2. Patient-centric (Protocol Defined) Readmission Rate

    Time frame: 30 days

    readmission within 30 days to any facility which Carolinas Healthcare System have access to the data

  3. Utilization of Healthcare Services Post-discharge From Emergency Department

    Time frame: 45 days

    Number of Emergency Department, inpatient, observation encounters

Sponsors and collaborators

Lead sponsor

Wake Forest University Health Sciences

Other

Registry information

Official study title

An Evaluation of ED to Admission Conversion Among Patients With a Telepsychiatric Consult Who Are Followed by a Behavioral Health - Virtual Patient Navigation Team

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Jul 2, 2017
Registry last updated
Apr 21, 2022

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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