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Completed

NCT Number: NCT01775033

Regionalized Pediatric Emergency Care in Rural Pennsylvania

The overall goal of this project is to develop and evaluate an organized, regional system of pediatric emergency care in rural western Pennsylvania.

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Key information

Conditions

Emergencies Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

Up to 18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Pittburgh Medical Center

Pittsburgh, Pennsylvania, 15261, United States

About this study

The OUTREACH project will develop, implement and evaluate an organized system of regional pediatric emergency care in rural western Pennsylvania. Toward that end the investigators have developed three broad goals: (1) to define the key barriers and potential solutions to regionalized pediatric emergency care through community stakeholder engagement; (2) to implement a regionalized system of pediatric emergency care using education, community outreach and telemedicine; and (3) evaluate the impact of the system on health care access and outcomes for rural children. The investigators will implement the intervention in a sample of rural hospitals in Pennsylvania using a staggered roll-out design, and compare outcomes of children seen in these hospitals to similar matched hospitals in the state, using Pennsylvania state Medicaid data to evaluate the impact of the intervention.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Pennsylvania
  • Medicaid beneficiary
  • Less than or equal to 18 years of age

Exclusion criteria

  • None

Treatment and study plan

Multicomponent intervention

Other

Develop, implement and evaluate an organized system of regional pediatric emergency care in rural Western Pennsylvania using four pillars: education, community, protocolized triage and transport, and telemedicine.

Primary outcomes

  1. Average distance from home to the nearest facility with specialized pediatric emergency care capabilities

    Time frame: One-year

    This population-based outcome will act as a measure of access and relates to HRSA Maternal Child Health Bureau performance measure AHS-8 and AHS-9 (access to pre-hospital EMS and wait times)

Secondary outcomes

  1. Incidence of emergency transfers to CHP after an index community ED visit

    Time frame: 90 days

  2. Incidence of emergency transfers to CHP that do not result in a hospital admission

    Time frame: 90 days

  3. Total health care encounters outside the county within three months after an index community ED visit

    Time frame: 90 days

  4. Mortality after an index community ED visit for specified high-risk conditions (trauma, sepsis, and in the chronic disease population)

    Time frame: 90 days

    These outcomes will address our goal to increase child health and related to the HRSA Maternal Child Health Bureau performance measures MICH-1,2 and 3

Sponsors and collaborators

Lead sponsor

University of Pittsburgh

Other

Collaborators

  • Health Resources and Services Administration (HRSA)

Registry information

Official study title

Regionalized Pediatric Emergency Care in Rural Pennsylvania: the Optimizing Utilization and Rural Emergency Access for Children Study

Acronym: OUTREACH

Important dates

Study start
2012
Primary completion
2016
Study completion
2016
First posted
Jan 24, 2013
Registry last updated
Oct 27, 2016

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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