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OpenTrials
Completed

NCT Number: NCT01797068

Patient Navigation for Medicaid Frequent ED Users

A large proportion of frequent ED users have Medicaid insurance. The purpose of this study is to evaluate the effectiveness of patient navigation for reducing Emergency Department (ED) visits and hospitalizations and improving patient-centered outcomes (e.g., self-reported health status, quality of life, access/barriers to care) among Medicaid patients who are high utilizers of the ED, as well as to identify best practices for engaging and providing healthcare services to underserved patients using patient navigation. This study will address needs that have been identified within the New Haven community and the local healthcare system, contribute to knowledge and literature surrounding the use of patient navigation to improve care for underserved patients and improve health system efficiency, and inform the design and development of programs that address these needs both locally and in other communities.

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Key information

Conditions

Chronic Illness Chronic Disease Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year–62 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Yale New Haven Hospital

New Haven, Connecticut, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 4-18 ED visits per year
  • Frequent ED users
  • age 18 to 62
  • Medicaid insurance only
  • Those living in the greater New Haven area (i.e. having a zip code that matches that)

Exclusion criteria

  • the current visit for primary psychiatric or substance abuse
  • more than 50% of all ED visits in the past year for primary psychiatric or substance abuse.

Treatment and study plan

Patient Navigator

Behavioral

Patients in the intervention group will be offered patient navigation and timely access to comprehensive care and services through Project Access-New Haven (PA-NH), a local non-profit organization that coordinates the provision of donated medical care and services to underserved patients through a network of participating hospitals and volunteer physicians.

Standard of care

Other

Patients in the standard of care group will experience the usual intake process in the ED setting.

Primary outcomes

  1. Number of ED visits

    Time frame: One Year

    Additional outcomes include number of hospitalizations, number of outpatient visits, and outpatient imaging utilization.

Secondary outcomes

  1. Number of hospitalizations

    Time frame: One Year

  2. Number of outpatient visits

    Time frame: One Year

  3. Costs by analyzing global use with Medicaid claims data

    Time frame: One year

Sponsors and collaborators

Lead sponsor

Yale University

Other

Registry information

Official study title

Patient Navigation to Improve Care and Reduce Costs for High Utilizers of the Emergency Department

Important dates

Study start
2013
Primary completion
2015
First posted
Feb 22, 2013
Registry last updated
Mar 30, 2020

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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