Integrated Telemedicine Program Evaluation

NCT ID: NCT07042477

Last Updated: 2025-06-29

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 3200 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-06-18
• Study Completion Date: 2026-04-30

Brief Summary

This project will evaluate a virtual, on-demand telemedicine program for High emergency department (ED) utilizers with comorbid physical health conditions and behavioral health correlates. Researchers will randomize patients to have either full access to the full intervention (treatment group) or to receive only standard care (control group). Analyses will be intent-to-treat. The primary outcome is the number of ED visits 120 days after the first Best Practice Alert (BPA) firing.

The research team plans to enroll 3200 patients in this study. However, randomization may end due to system constraints on December 31, 2025 before reaching that target. This sample provides 80% power to detect a 35% relative reduction in ED utilization using a two-tailed test with an alpha of .15, assuming 40% compliance with the program.

Conditions

Behavioral Intervention; Emergency Department Visits; Telemedicine

Study Design

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

Study Groups

Integrated Telemedicine Program

Patients will be invited to participate in the integrated telemedicine program through text, email, and/or phone calls.

Group Type: EXPERIMENTAL

Integrated Telemedicine Program

Intervention Type: BEHAVIORAL

The integrated telemedicine program is short-term bridge support provided by a virtually accessible team, including a behavioral health provider (Health Psychologist or Licensed Clinical Social Worker \[LCSW\]) and Community Health Worker (CHW). Once stabilized, members transition from bridge support to ongoing care with a Geisinger Health System Primary Care Provider and Behavioral Health Provider.

Control

Patients will receive only standard care and will receive no invitation to participate in the integrated telemedicine program.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Integrated Telemedicine Program

The integrated telemedicine program is short-term bridge support provided by a virtually accessible team, including a behavioral health provider (Health Psychologist or Licensed Clinical Social Worker \[LCSW\]) and Community Health Worker (CHW). Once stabilized, members transition from bridge support to ongoing care with a Geisinger Health System Primary Care Provider and Behavioral Health Provider.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• 18+ years old
• 4+ Geisinger ED visits in the last 6 months
• Geisinger Health Plan (GHP) insurance member
• Has a Geisinger PCP
• Patient is being seen at one of the following facilities: Geisinger Lewistown Hospital, Geisinger Medical Center, Geisinger Bloomsburg Hospital, Geisinger Jersey Shore Hospital, Geisinger Community Medical Hospital, Geisinger Wyoming Valley, Geisinger Medical Center Muncy, Geisinger Shamokin Ach Hospital, Geisinger South Wilkes Barre

Exclusion Criteria

• Patient being seen in departments determined ineligible by the study team
• Patient is diagnosed with alcohol and substance-related disorders
• Patient is going to receive inpatient care
• Patient is coded in the ED as Level 1 (i.e., seeking life-saving measures)
• Patient has an Intellectual Disability or Traumatic Brain Injury
• Patient is actively seeing a BH provider

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

Sponsors

Geisinger Clinic

OTHER

Sponsor Role: lead

Responsible Party

Amir Goren

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Geisinger Clinic

Danville, Pennsylvania, United States

Site Status: RECRUITING

Countries

United States

Facility Contacts

Amir Goren, PhD

Role: primary

agoren@geisinger.edu

570-214-4395

Sasha C Brietzke, PhD

Role: backup

sbrietzke@geisinger.edu

9734540855

Other Identifiers

2024-0554

Identifier Type: -

Identifier Source: org_study_id