Coordinated Emergency Department Transitions

Brown University1,989 enrolled

Overview

The goal of this observational study is to learn the feasibility, acceptability, appropriateness, and adherence to a case management intervention. PartnerED is a case management intervention that aims to reduce unnecessary hospital admissions by providing real-time, structured information and discharge support to emergency department providers via phone and fax. The intervention is led by chronic care managers employed by Bluestone Accountable Care Organization, a physician group primarily serving patients in assisted living centers.

PartnerED is a case management intervention that aims to reduce unnecessary hospital admissions by providing real-time, structured information and discharge support to emergency department providers via phone and fax. The intervention is led by chronic care managers employed by Bluestone Accountable Care Organization, a physician group primarily serving patients in assisted living centers.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

1,989

Conditions

Alzheimer Disease or Associated Disorder

Interventions

Structured case managementBEHAVIORAL

When a Bluestone Accountable Care Organization registers in an emergency department, a Bluestone chronic care manager contacts emergency department clinicians by phone and fax to provide up-to-date clinical and discharge support information.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Bluestone Accountable Care Organization patient * Registration in emergency department between November 1, 2023 and June 30, 2024, as recorded in electronic admission, discharge, and transfer notifications Exclusion Criteria: * None

Locations (1)

Bluestone Accountable Care Organization

Omaha, Nebraska, United States

Outcomes

Primary Outcomes

Percent of Eligible Emergency Department Visits With Completed Outreach

Percent of eligible emergency department visits in which a case manager provided structured clinical and discharge support information to a emergency department provider about a patient who was in their care, with the goal of avoiding an unnecessary hospitalization

Time frame: Within 1-3 hours of emergency department registration

Secondary Outcomes

Percent of Successful Outreach Conversations in Which Staff Reported Avoidance of an Unnecessary Hospitalization

Case manager self-report of whether she/he was successful in avoiding an unnecessary hospitalization of a patient after providing structured clinical and discharge support information to the emergency department provider

Time frame: Within 24 hours of emergency department registration

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.