Patient Navigation for Medicaid Frequent ED Users

NCT ID: NCT01797068

Last Updated: 2020-03-30

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2013-03-31

Brief Summary

A large proportion of frequent ED users have Medicaid insurance. The purpose of this study is to evaluate the effectiveness of patient navigation for reducing Emergency Department (ED) visits and hospitalizations and improving patient-centered outcomes (e.g., self-reported health status, quality of life, access/barriers to care) among Medicaid patients who are high utilizers of the ED, as well as to identify best practices for engaging and providing healthcare services to underserved patients using patient navigation. This study will address needs that have been identified within the New Haven community and the local healthcare system, contribute to knowledge and literature surrounding the use of patient navigation to improve care for underserved patients and improve health system efficiency, and inform the design and development of programs that address these needs both locally and in other communities.

Conditions

Chronic Illness

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Patient Navigator

Patients in the experimental group will be offered patient navigation and timely access to comprehensive care and services through Project Access-New Haven (PA-NH).

Group Type: EXPERIMENTAL

Patient Navigator

Intervention Type: BEHAVIORAL

Patients in the intervention group will be offered patient navigation and timely access to comprehensive care and services through Project Access-New Haven (PA-NH), a local non-profit organization that coordinates the provision of donated medical care and services to underserved patients through a network of participating hospitals and volunteer physicians.

Standard of Care

Patients in the active comparator group will experience the usual intake process in the ED setting.

Group Type: ACTIVE_COMPARATOR

Standard of Care

Intervention Type: OTHER

Patients in the standard of care group will experience the usual intake process in the ED setting.

Interventions

Patient Navigator

Patients in the intervention group will be offered patient navigation and timely access to comprehensive care and services through Project Access-New Haven (PA-NH), a local non-profit organization that coordinates the provision of donated medical care and services to underserved patients through a network of participating hospitals and volunteer physicians.

Intervention Type: BEHAVIORAL

Standard of Care

Patients in the standard of care group will experience the usual intake process in the ED setting.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 4-18 ED visits per year
• Frequent ED users
• age 18 to 62
• Medicaid insurance only
• Those living in the greater New Haven area (i.e. having a zip code that matches that)

Exclusion Criteria

• the current visit for primary psychiatric or substance abuse
• more than 50% of all ED visits in the past year for primary psychiatric or substance abuse.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 62 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Yale University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Yale New Haven Hospital

New Haven, Connecticut, United States

Countries

United States

Other Identifiers

1007007154

Identifier Type: -

Identifier Source: org_study_id