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Purpose

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.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

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

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Health Services Research
Masking
None (Open Label)
Masking Description
Patients will be aware of their own messages but not of messages sent to other patients or in other arms.

Arm Groups

ArmDescriptionAssigned Intervention
No Intervention
Control 		This arm will receive no intervention outside of usual care.
Experimental
Contact your PCP 		Intervention content emphasizes contacting a primary care provider (content will vary slightly based on whether the patient has a Geisinger PCP)
  • Behavioral: Contact your PCP
    Text messages will be sent and discharge paperwork will be modified to encourage contacting a primary care provider.
Experimental
Use Intelligent Triage 		Intervention content emphasizes using Intelligent Triage to assess symptoms.
  • Behavioral: Use Intelligent Triage
    Text messages will be sent and discharge paperwork will be modified to encourage using Intelligent Triage.

Recruiting Locations

Geisinger
Danville, Pennsylvania 17822
Contact:
Amir Goren, PhD
570-214-4395
agoren@geisinger.edu

More Details

Status
Recruiting
Sponsor
Geisinger Clinic

Study Contact

Amir Goren, PhD
570-214-4395
agoren@geisinger.edu

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.