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OpenTrials
Completed

NCT Number: NCT05787548

Reducing Emergency Department Utilization With an After Visit Summary Nudge Toward Alternative Care Options

Decreasing utilization of the Emergency Department (ED) is a priority for the system. Often, ED visits can be avoided if patients contact Geisinger first to get appropriate direction for their concern or are otherwise better informed about reasons to visit the ED vs. urgent care or primary care facilities. The study team is working to reduce ED utilization by including additional information in adult outpatient After Visit Summaries (AVSs). The study will involve will involve A/B testing different AVS versions, including 1) a version that encourages patients to contact Geisinger via different contact methods, 2) a version that includes a map to the patient's closest ConvenientCare location and accompanying information about ConvenientCare, and 3) a version that includes a self-triage guide. A control group will receive the current standard AVS. Analysis results will be assessed to determine which version is most effective at reducing ED use.

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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 Clinic

Danville, Pennsylvania, 17822, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age 18+
  • Has a Geisinger Primary Care Physician assigned
  • Completes an outpatient office visit or telemedicine appointment at Geisinger

Exclusion criteria

  • The AVS was not printed according to the EHR, and the patient does not have an active MyGeisinger patient portal account, so they do not have a way to view the AVS

Treatment and study plan

Contact information

Behavioral

Information on how to contact Geisinger if the patient needs care

Urgent care map

Behavioral

A map of the patient's nearest Geisinger urgent care location, with information about urgent care

Self-triage chart

Behavioral

A chart demonstrating what to do in response to several common conditions where the patient might be compelled to visit the ED

Primary outcomes

  1. Inappropriate ED visits

    Time frame: In the 30 days following the appointment

    Visited the ED inappropriately (y/n)

    We will apply the NYU algorithm (Ballard et al., 2010) to determine whether an ED visit is inappropriate.

Other outcomes

  1. Urgent care visits

    Time frame: In the 30 days following the appointment

    Visited urgent care (y/n)

  2. Calls

    Time frame: In the 30 days following the appointment

    Called Geisinger (y/n)

  3. Patient portal messages

    Time frame: In the 30 days following the appointment

    Sent a patient portal message (y/n)

Sponsors and collaborators

Lead sponsor

Geisinger Clinic

Other

Registry information

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Mar 28, 2023
Registry last updated
Feb 26, 2024

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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