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Regionalized Pediatric Emergency Care in Rural Pennsylvania

NCT ID: NCT01775033

Last Updated: 2016-10-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

5000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2016-06-30

Brief Summary

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The overall goal of this project is to develop and evaluate an organized, regional system of pediatric emergency care in rural western Pennsylvania.

Detailed Description

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The OUTREACH project will develop, implement and evaluate an organized system of regional pediatric emergency care in rural western Pennsylvania. Toward that end the investigators have developed three broad goals: (1) to define the key barriers and potential solutions to regionalized pediatric emergency care through community stakeholder engagement; (2) to implement a regionalized system of pediatric emergency care using education, community outreach and telemedicine; and (3) evaluate the impact of the system on health care access and outcomes for rural children. The investigators will implement the intervention in a sample of rural hospitals in Pennsylvania using a staggered roll-out design, and compare outcomes of children seen in these hospitals to similar matched hospitals in the state, using Pennsylvania state Medicaid data to evaluate the impact of the intervention.

Conditions

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Emergencies

Keywords

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Pediatrics Emergency medical services Emergency Treatment Telemedicine

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Multicomponent intervention

Hospitals in the experimental arm will receive a four-component intervention that integrates local education, community outreach, telemedicine and protocolized triage and transport

Group Type EXPERIMENTAL

Multicomponent intervention

Intervention Type OTHER

Develop, implement and evaluate an organized system of regional pediatric emergency care in rural Western Pennsylvania using four pillars: education, community, protocolized triage and transport, and telemedicine.

Control

Hospitals in the control arm will receive usual care.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Multicomponent intervention

Develop, implement and evaluate an organized system of regional pediatric emergency care in rural Western Pennsylvania using four pillars: education, community, protocolized triage and transport, and telemedicine.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Pennsylvania
* Medicaid beneficiary
* Less than or equal to 18 years of age

Exclusion Criteria

* None
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Health Resources and Services Administration (HRSA)

FED

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role lead

Responsible Party

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Jeremy Kahn

Associate Professor of Critical Care, Medicine and Health Policy & Management

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jeremy M Kahn, MD, MS

Role: STUDY_DIRECTOR

University of Pittsburgh

Locations

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University of Pittburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

References

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Lorch SA, Myers S, Carr B. The regionalization of pediatric health care. Pediatrics. 2010 Dec;126(6):1182-90. doi: 10.1542/peds.2010-1119. Epub 2010 Nov 1.

Reference Type BACKGROUND
PMID: 21041285 (View on PubMed)

Berger E. Growing pains: Report notes pediatric emergencies need greater emphasis. Ann Emerg Med. 2006 Aug;48(2):143-4. doi: 10.1016/j.annemergmed.2006.06.024. No abstract available.

Reference Type BACKGROUND
PMID: 16953527 (View on PubMed)

Other Identifiers

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H3AMC24076

Identifier Type: -

Identifier Source: org_study_id

NCT02306408

Identifier Type: -

Identifier Source: nct_alias