Informing Low-acuity Emergency Department Patients of Non-emergent Resources (2)

Informing Low-acuity Emergency Department Patients of Non-emergent Healthcare Resources Following Discharge to Decrease Emergency Department Utilization (2)

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07185828

Enrollment

8286

Registered

2025-09-22

Start date

2025-04-15

Completion date

2026-07-01

Last updated

2026-07-23

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

Conditions

Behavior Change Interventions, Emergency Service, Hospital

Brief summary

The goal of this campaign is to reduce unnecessary visits to a Geisinger emergency department (ED). In this campaign, patients will be assigned to receive or not receive outreach following ED discharge with a low-acuity visit designation. Outreach will occur via a text message the day after discharge from the ED as well as information added to the patient's after visit summary (AVS). Depending on the assigned condition, it will include calls to see their primary care provider (PCP) or use an Intelligent Triage tool. The study will assess whether ED use within the following 120 days differs across patients in different outreach conditions (current standard practice vs contact your PCP vs use Intelligent Triage). It will also examine whether patients follow through on the message-specific calls to action differently across conditions.

Interventions

BEHAVIORALContact your PCP

Text messages will be sent and discharge paperwork will be modified to encourage contacting a primary care provider.

BEHAVIORALUse Intelligent Triage

Text messages will be sent and discharge paperwork will be modified to encourage using Intelligent Triage.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Masking description

Patients will be aware of their own messages but not of messages sent to other patients or in other arms.

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* \>= 18 years of age * Geisinger ED visit rated as low acuity (L4 or L5) * Discharged from Geisinger ED in past 24 hours

Exclusion criteria

* Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient/missing contact information in the EHR or because the patient opted out * Admitted to hospital * Already included in intervention in past 365 days

Design outcomes

Primary

Measure	Time frame	Description
Return to Geisinger ED	within 120 days following day of discharge	ED visit (yes/no)

Countries

United States

Contacts

CONTACTAmir Goren, PhD

agoren@geisinger.edu570-214-4395

PRINCIPAL_INVESTIGATORAmir Goren, PhD

Geisinger Clinic

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 24, 2026