CMSL Ambulatory Sensitive Condition Nudge

Geisinger Clinic3,016 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

3,016

Conditions

Behavioral Intervention Emergency Department Visits Nurse Care Coordination

Nurse NudgeBEHAVIORAL

Nurses will be nudged to call the patients, which may increase the likelihood that the patient receives a post-appointment follow-up call.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 18 years + * Has a visit in CMSL with an ambulatory sensitive condition (ASC) encounter diagnosis

Locations (1)

Geisinger

Danville, Pennsylvania, United States

Outcomes

Primary Outcomes

ED Visit (yes/no)

Does outreach decrease ED visits?

Time frame: within 7 days following day of appointment

Data from ClinicalTrials.gov

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