Informing Low-acuity Emergency Department Patients of Non-emergent Resources

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

6242 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-25

Study Completion Date

2024-12-27

Brief Summary

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The goal of this campaign is to reduce unnecessary visits to a Geisinger emergency department (ED)/encourage patients with high acuity visits to follow up with an appropriate Geisinger provider. In this campaign, patients will be assigned to receive or not receive outreach following ED discharge that is aligned with the goal. Outreach will occur via a text message, as well as information added to the patient's after visit summary, and will includecalls to action to see their Geisinger CMSL PCP either in person or virtually. The study will assess whether ED use differs across patients in different outreach conditions. It will also examine whether patients follow through on the message-specific calls to action in the messages differently across conditions.

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Detailed Description

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Conditions

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Emergency Service, Hospital

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Patients will be aware of their own messages but not of messages sent to other patients or in other arms.

Study Groups

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Control

This arm will receive no intervention outside of usual care.

Group Type NO_INTERVENTION

No interventions assigned to this group

Other Healthcare Resources

This arm will receive text messages suggesting alternatives to seeking care at a Geisinger emergency department such as seeing their Geisinger CMSL primary care provider in person or virtually (telehealth). Text suggesting these alternatives may also be included in a modified discharge paperwork packet.

Group Type EXPERIMENTAL

Information about healthcare resources

Intervention Type BEHAVIORAL

Text messages will be sent following discharge from the emergency department; text may also be modified in the (online and/or printed) discharge summary packet.

Interventions

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Information about healthcare resources

Text messages will be sent following discharge from the emergency department; text may also be modified in the (online and/or printed) discharge summary packet.

Intervention Type BEHAVIORAL

Other Intervention Names

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Text messages Discharge summary text Information

Eligibility Criteria

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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

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No