Patients who present to one of the participating EDs with a telepsychiatric consult performed will be treated and followed per the behavioral health virtual patient navigation pathway (BH-VPN) or usual care. The BH-VPN is inclusive of several components which will all be consistently applied to patients randomized to the intervention, as well as having access to behavioral health trained patient navigators. These key components are often deployed inconsistently as a part of usual care, but per the intervention, will be completed in totality for subjects who are assigned to and participate in the BH-VPN plan. This study includes a qualitative sub-study to measure perceptions of the impact of the BH-VPN on readmission rates and patient outcomes, experiences with the services provided by the BH-VPN, and provider and clinician ideas for how to improve the services provided by the BH-VPN.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
637
A bundle of usual care components, applied consistently and completely, along with access to behavioral health specific patient navigators and navigation services.
Carolinas Medical Center Mercy
Charlotte, North Carolina, United States
Carolinas Healthcare System - Pineville
Charlotte, North Carolina, United States
Carolinas Healthcare System University
Charlotte, North Carolina, United States
Carolinas Healthcare System Steele Creek
Charlotte, North Carolina, United States
Carolinas Healthcare System Huntersville
Huntersville, North Carolina, United States
Carolinas Healthcare System - Union
Monroe, North Carolina, United States
Emergency Department to Inpatient Conversion Rate
admission from the Emergency Department with behavioral health consult completed, to an inpatient or observation setting.
Time frame: 5 days
Quality, Comfort, and Care (QCC) Defined Readmission Rate
readmission within 30 days to the same facility
Time frame: 30 days
Patient-centric (Protocol Defined) Readmission Rate
readmission within 30 days to any facility which Carolinas Healthcare System have access to the data
Time frame: 30 days
Utilization of Healthcare Services Post-discharge From Emergency Department
Number of Emergency Department, inpatient, observation encounters
Time frame: 45 days
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