Overview

This trial is active, not recruiting.

Condition emergencies [disease/finding]
Treatment multicomponent intervention
Sponsor University of Pittsburgh
Collaborator Health Resources and Services Administration (HRSA)
Start date June 2012
End date June 2016
Trial size 5000 participants
Trial identifier NCT01775033, H3AMC24076

Summary

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

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation non-randomized
Endpoint classification efficacy study
Intervention model single group assignment
Masking open label
Primary purpose health services research
Arm
(Experimental)
Hospitals in the experimental arm will receive a four-component intervention that integrates local education, community outreach, telemedicine and protocolized triage and transport
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.
(No Intervention)
Hospitals in the control arm will receive usual care.

Primary Outcomes

Measure
Average distance from home to the nearest facility with specialized pediatric emergency care capabilities
time frame: One-year

Secondary Outcomes

Measure
Incidence of emergency transfers to CHP after an index community ED visit
time frame: 90 days
Incidence of emergency transfers to CHP that do not result in a hospital admission
time frame: 90 days
Total health care encounters outside the county within three months after an index community ED visit
time frame: 90 days
Mortality after an index community ED visit for specified high-risk conditions (trauma, sepsis, and in the chronic disease population)
time frame: 90 days

Eligibility Criteria

Male or female participants up to 18 years old.

Inclusion Criteria: - Pennsylvania - Medicaid beneficiary - Less than or equal to 18 years of age Exclusion Criteria: - None

Additional Information

Official title Regionalized Pediatric Emergency Care in Rural Pennsylvania: the Optimizing Utilization and Rural Emergency Access for Children Study
Description 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.
Trial information was received from ClinicalTrials.gov and was last updated in May 2015.
Information provided to ClinicalTrials.gov by University of Pittsburgh.