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.
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.
Study Type
OBSERVATIONAL
Enrollment
1,027
Cottonwood InstaCare
Murray, Utah, United States
Intermountain Medical Center
Murray, Utah, United States
Riverton Hospital
Riverton, Utah, United States
Southridge InstaCare
Riverton, Utah, United States
Incidence rate of avoidable ED visits due to a "missed" opportunity in outpatient care
The proportion of ED visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
Time frame: 1 Day
Incidence rate of avoidable InstaCare visits due to a "missed" opportunity in outpatient care
The proportion of Instacare visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
Time frame: 1 Day
Patient Disposition Status from the ED
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.
Time frame: 1 Day
Patient Disposition Status from the InstaCare
Disposition status from after the Instacare visit, collected from the medical record. Status may be admitted, observation, transfer to facility, discharged, or deceased.
Time frame: 1 Day
Length of stay for admitted patients
Length in stay by days in study patients admitted to the hospital
Time frame: Up to 30 days
Harms to patients due to the missed opportunities in outpatient care.
Categorization of the "harms" on patients due to the missed opportunities in outpatient care using NCC-MERP categorizations
Time frame: 90 days
30 day episode costs
All attributable healthcare costs accrued to study patients from the date of visit to +30 days.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Salt Lake City InstaCare
Salt Lake City, Utah, United States
Memorial InstaCare
Salt Lake City, Utah, United States
LDS Hospital
Salt Lake City, Utah, United States
Sandy InstaCare
Sandy City, Utah, United States
Alta View Hospital
Sandy City, Utah, United States
Time frame: 30 days
90 day episode costs
All attributable healthcare costs accrued to study patients from the date of visit to +90 days.
Time frame: 90 days