Emergencies
Conditions
Keywords
Pediatrics, Emergency medical services, Emergency Treatment, Telemedicine
Brief summary
The overall goal of this project is to develop and evaluate an organized, regional system of pediatric emergency care in rural western Pennsylvania.
Detailed description
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.
Interventions
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.
Sponsors
Health Resources and Services Administration (HRSA)
University of Pittsburgh
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
* Pennsylvania * Medicaid beneficiary * Less than or equal to 18 years of age
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Average distance from home to the nearest facility with specialized pediatric emergency care capabilities | 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
| Measure | Time frame | Description |
|---|---|---|
| Incidence of emergency transfers to CHP that do not result in a hospital admission | 90 days | — |
| Incidence of emergency transfers to CHP after an index community ED visit | 90 days | — |
| Total health care encounters outside the county within three months after an index community ED visit | 90 days | — |
| Mortality after an index community ED visit for specified high-risk conditions (trauma, sepsis, and in the chronic disease population) | 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 |
Countries
United States
Outcome results
None listed