CMSL Ambulatory Sensitive Condition Nudge

Not Applicable

Completed

• Conditions: Behavioral Intervention; Emergency Department Visits; Nurse Care Coordination

• Registration Number: NCT06798389
• Lead Sponsor: Geisinger Clinic

Brief Summary

The project aims to evaluate a nurse-led intervention to reduce inappropriate emergency department (ED) use among adult patients seen at Geisinger's Community Medicine Service Line (CMSL) clinics. The intervention occurs immediately following an appointment where they received a diagnosis of an ambulatory sensitive condition (ASC). The evaluation will compare eligible patients with an ASC who were randomly assigned to receive follow-up outreach from a nurse (who was automatically prompted via the Epic electronic health record system to initiate outreach) with those who were randomly assigned to receive standard care. Analyses will be intent-to-treat. The primary outcome is ED use in the week following the appointment.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-01-06
• Study First Submitted: 2025-01-06
• Study First Submitted QC: 2025-01-27
• Study First Posted: 2025-01-29
• Status Verified: 2025-04
• Primary Completion: 2025-04-01
• Study Completion: 2025-04-01
• Last Update Submitted: 2025-04-23
• Last Update Posted: 2025-04-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 3016

Inclusion Criteria

• Age 18 years +
• Has a visit in CMSL with an ambulatory sensitive condition (ASC) encounter diagnosis

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
ED Visit (yes/no)	within 7 days following day of appointment	Does outreach decrease ED visits?

Trial Locations

Locations (1)

Geisinger; 🇺🇸 Danville, Pennsylvania, United States