Behavioral Intervention, Emergency Department Visits, Nurse Care Coordination
Conditions
Keywords
Nudge
Brief summary
The project aims to evaluate a nurse-led intervention to reduce inappropriate emergency department (ED) use among adult patients seen at Geisinger's Community Medicine Service Line (CMSL) clinics. The intervention occurs immediately following an appointment where they received a diagnosis of an ambulatory sensitive condition (ASC). The evaluation will compare eligible patients with an ASC who were randomly assigned to receive follow-up outreach from a nurse (who was automatically prompted via the Epic electronic health record system to initiate outreach) with those who were randomly assigned to receive standard care. Analyses will be intent-to-treat. The primary outcome is ED use in the week following the appointment.
Interventions
BEHAVIORALNurse Nudge
Nurses will be nudged to call the patients, which may increase the likelihood that the patient receives a post-appointment follow-up call.
Sponsors
Geisinger Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 18 years + * Has a visit in CMSL with an ambulatory sensitive condition (ASC) encounter diagnosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ED Visit (yes/no) | within 7 days following day of appointment | Does outreach decrease ED visits? |
Other
| Measure | Time frame | Description |
|---|---|---|
| Nurse call to patient | Within 7 days post-appointment | Does the nurse nudge increase post-appointment nurse calls to patients? |
Countries
United States
Outcome results
None listed