Emergency
Conditions
Keywords
Emergency Visit, Secure Health messaging, Inpatient
Brief summary
New York-Presbyterian Hospital has created a system that notifies its primary care providers whenever their patients are admitted to the hospital. In this study, the investigators want to evaluate how accurate this system is and how it is affecting the primary providers and their health care delivery.
Detailed description
The investigators will interview the participating providers to understand if they were aware of the admission of their patients, and how they want to get involved in the care of that patient while he/she is in hospital. The investigators will also look at the data in the Electronic Health Record system to understand how providers are acting in response to the notifications. Lastly, the investigators will determine if the notifications have resulted in any change in the care of the patients, specifically in terms of the number of days from discharge until the next clinic visit.
Interventions
OTHERNotification
Providers in the intervention group will receive a secure electronic notification when their patients are visited in the emergency department or admitted as an inpatient.
Sponsors
Columbia University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Primary Care Provider at the New York Presbyterian.
Exclusion criteria
* No clinic rotation during the study period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean duration until first post-discharge outpatient visit | 1 year | The investigators will measure the time from each patient's discharge until their first follow-up visit in the outpatient setting. The investigators hypothesize that the automated notification will result is earlier post-discharge followups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean number of secure health messages (SHMs) | 1-7 days after each admission | Once a primary care provider is notified about their patient's admission via a secure health message (SHM), the investigators will measure number of such SHMs that are read within 24 hours and within 7 days |
Other
| Measure | Time frame | Description |
|---|---|---|
| Average rate of readmission to inpatient setting | 1 year | The investigators will compare the rate of readmission for patients associated with providers in the two arms of the study, to assess if provider's notification about their patient's visit to the emergency department has any effect on rate of readmission. |
Countries
United States
Outcome results
None listed