Opportunities in Outpatient Care

Characterizing and Quantifying Challenges and Opportunities in Outpatient Care

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03163225

Enrollment

1027

Registered

2017-05-22

Start date

2017-09-01

Completion date

2017-10-31

Last updated

2018-08-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Outpatient Care

Keywords

outpatient care, emergency department visits

Brief summary

The purpose of this research study is to determine whether there are things that Intermountain can do to break down barriers to helping patients see their primary doctors or other outpatient clinics. To do this we will develop and test a classification scheme to help us understand how we might reduce some avoidable emergency department and InstaCare visits.

Detailed description

The study will develop a first-pass taxonomy that classifies the causes and effects of challenges and opportunities of outpatient care leading to potentially avoidable ED and urgent care center visits. The study will quantify the proportion of ED and urgent care center visits that result from a challenge or opportunity in outpatient care and classify the causes and outcomes according to the taxonomy. It will also define the 30 and 90 day episode costs of ED and urgent care center visits associated with a challenges and opportunities of outpatient care beginning the day of the ED or urgent care center visit.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

7 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* All Emergency Department/IC patients who can consent, including children.

Exclusion criteria

* Unable to give consent * Prisoners

Design outcomes

Primary

Measure	Time frame	Description
Incidence rate of avoidable ED visits due to a missed opportunity in outpatient care	1 Day	The proportion of ED visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
Incidence rate of avoidable InstaCare visits due to a missed opportunity in outpatient care	1 Day	The proportion of Instacare visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy

Secondary

Measure	Time frame	Description
Length of stay for admitted patients	Up to 30 days	Length in stay by days in study patients admitted to the hospital
Harms to patients due to the missed opportunities in outpatient care.	90 days	Categorization of the harms on patients due to the missed opportunities in outpatient care using NCC-MERP categorizations
Patient Disposition Status from the ED	1 Day	Disposition status from after the ED visit, collected from the medical record. Status will be one of the following: admitted, observation, transfer to facility, discharged, deceased.
90 day episode costs	90 days	All attributable healthcare costs accrued to study patients from the date of visit to +90 days.
30 day episode costs	30 days	All attributable healthcare costs accrued to study patients from the date of visit to +30 days.
Patient Disposition Status from the InstaCare	1 Day	Disposition status from after the Instacare visit, collected from the medical record. Status may be admitted, observation, transfer to facility, discharged, or deceased.

Countries

United States

Outcome results