Overview

This trial has been completed.

Conditions patient discharge, emergency care
Treatment etoc
Sponsor Thomas Jefferson University
Start date August 2015
End date May 2016
Trial size 316 participants
Trial identifier NCT02533856, 15G.242

Summary

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.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Intervention model parallel assignment
Masking open label
Primary purpose supportive care
Arm
(No Intervention)
Discharge from emergency department by usual care
(Experimental)
Discharge from emergency department with increased support services provided by BoardRounds after ED discharge
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.

Primary Outcomes

Measure
Total number of ED visits, hospital admissions, and outpatient office visits as determined by medical record review and patient report
time frame: 30 days

Secondary Outcomes

Measure
Total number of ED visits, hospital admissions, and outpatient office visits as determined by medical record review and patient report
time frame: 9 days
Description of types of and count (per type) of assistance received by patients in accessing needed healthcare services as assessed by patient survey
time frame: 30 days
Description of types of and count (per type) of assistance received by patients in accessing needed healthcare services as assessed by patient survey
time frame: 9 days
Assessment of whether patient had unmet needs in accessing needed healthcare services, as determined by patient survey
time frame: 30 days
Assessment of whether patient had unmet needs in accessing needed healthcare services, as determined by patient survey
time frame: 9 days

Eligibility Criteria

Male or female participants at least 18 years old.

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

Additional Information

Official title Randomized Control Trial of Emergency Department Discharge With Enhanced Transitions of Care Compared to Usual Care
Trial information was received from ClinicalTrials.gov and was last updated in October 2016.
Information provided to ClinicalTrials.gov by Thomas Jefferson University.