Trial of Emergency Department Discharge With Enhanced Transitions of Care Compared to Usual Care

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

316 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2016-05-31

Brief Summary

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This is a randomized controlled trial to assess the relative effectiveness of providing Enhanced Transitions of Care (ETOC) to improve patient outcomes after discharge from the Emergency Department (ED). Patients who are being discharged from the ED and have had a previous ED visit or hospital admission within the Thomas Jefferson Hospital System (TJUH or Methodist) within the past 90 days will be eligible for enrollment in this trial. Patients who consent to enrollment will be randomized to discharge by usual care or discharge with ETOC as provided by the company BoardRounds.

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Detailed Description

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Conditions

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Patient Discharge Emergency Care

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Usual Care

Discharge from emergency department by usual care

Group Type NO_INTERVENTION

No interventions assigned to this group

ETOC

Discharge from emergency department with increased support services provided by BoardRounds after ED discharge

Group Type EXPERIMENTAL

ETOC

Intervention Type OTHER

Services provided to assist patients in accessing needed healthcare services after emergency department discharge such as scheduling appointments, finding new doctors, getting medications, or addressing problems with insurance coverage.

Interventions

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ETOC

Services provided to assist patients in accessing needed healthcare services after emergency department discharge such as scheduling appointments, finding new doctors, getting medications, or addressing problems with insurance coverage.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult (18 yrs and older) patients
* Have had a previous ED visit or hospital admission in the 90 days prior to the current ED visit (at Thomas Jefferson University Hospital or Methodist Hospital)
* Have just completed evaluation in the Thomas Jefferson University Hospital Emergency Department for any problem,
* Are ready for discharge from the Thomas Jefferson University Hospital ED, and
* Provide informed consent

Exclusion Criteria

* Non-English speaking patients
* Patients undergoing medical clearance for a detox center or any involuntary court or magistrate order
* Patients who live outside Philadelphia area (unable to seek follow-up care in Philadelphia) or other condition known to preclude follow-up (such as no reliable access to a telephone)
* Patients in police custody or currently incarcerated individuals
* Patients who have, in their clinician's best judgment, major communication barriers such as visual or hearing impairment or dementia that would compromise their ability to give written informed consent

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No