NCT Number: NCT03163225
The purpose of this research study is to determine whether there are things that Intermountain can do to break down barriers to helping patients see their primary doctors or other outpatient clinics. To do this we will develop and test a classification scheme to help us understand how we might reduce some avoidable emergency department and InstaCare visits.
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Notify Me7 year and older
All sexes
Observational
Cottonwood InstaCare, Murray, Utah, United States
The study will develop a first-pass taxonomy that classifies the causes and effects of challenges and opportunities of outpatient care leading to potentially avoidable ED and urgent care center visits.
The study will quantify the proportion of ED and urgent care center visits that result from a challenge or opportunity in outpatient care and classify the causes and outcomes according to the taxonomy. It will also define the 30 and 90 day episode costs of ED and urgent care center visits associated with a challenges and opportunities of outpatient care beginning the day of the ED or urgent care center visit.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Time frame: 1 Day
The proportion of ED visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
Time frame: 1 Day
The proportion of Instacare visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
Time frame: 1 Day
Disposition status from after the ED visit, collected from the medical record. Status will be one of the following: admitted, observation, transfer to facility, discharged, deceased.
Time frame: 1 Day
Disposition status from after the Instacare visit, collected from the medical record. Status may be admitted, observation, transfer to facility, discharged, or deceased.
Time frame: Up to 30 days
Length in stay by days in study patients admitted to the hospital
Time frame: 90 days
Categorization of the "harms" on patients due to the missed opportunities in outpatient care using NCC-MERP categorizations
Time frame: 30 days
All attributable healthcare costs accrued to study patients from the date of visit to +30 days.
Time frame: 90 days
All attributable healthcare costs accrued to study patients from the date of visit to +90 days.
Intermountain Health Care, Inc.
Other
Characterizing and Quantifying Challenges and Opportunities in Outpatient Care
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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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