Primary-care-provider Identification And Notification

Not Applicable

Completed

• Conditions: Emergency
• Interventions: Other: Notification

• Registration Number: NCT01984645
• Lead Sponsor: Columbia University

Brief Summary

New York-Presbyterian Hospital has created a system that notifies its primary care providers whenever their patients are admitted to the hospital. In this study, the investigators want to evaluate how accurate this system is and how it is affecting the primary providers and their health care delivery.

Detailed Description

The investigators will interview the participating providers to understand if they were aware of the admission of their patients, and how they want to get involved in the care of that patient while he/she is in hospital. The investigators will also look at the data in the Electronic Health Record system to understand how providers are acting in response to the notifications.

Lastly, the investigators will determine if the notifications have resulted in any change in the care of the patients, specifically in terms of the number of days from discharge until the next clinic visit.

Study Timeline

• Study Start: 2012-09
• Study First Submitted: 2013-10-30
• Study First Submitted QC: 2013-11-07
• Study First Posted: 2013-11-15
• Primary Completion: 2015-03
• Study Completion: 2015-07
• Status Verified: 2016-02
• Last Update Submitted: 2016-02-17
• Last Update Posted: 2016-02-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 7023

Inclusion Criteria

• Primary Care Provider at the New York Presbyterian.

Read More

Exclusion Criteria

• No clinic rotation during the study period

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Notification	Notification	Providers in this arm will receive a secure online notification whenever their patients are visited in the emergency department or admitted as an inpatient.

Primary Outcome Measures

Name	Time	Method
Mean duration until first post-discharge outpatient visit	1 year	The investigators will measure the time from each patient's discharge until their first follow-up visit in the outpatient setting. The investigators hypothesize that the automated notification will result is earlier post-discharge followups.

Secondary Outcome Measures

Name	Time	Method
Mean number of secure health messages (SHMs)	1-7 days after each admission	Once a primary care provider is notified about their patient's admission via a secure health message (SHM), the investigators will measure number of such SHMs that are read within 24 hours and within 7 days

Trial Locations

Locations (1)

Columbia University Medical Center; 🇺🇸 New York, New York, United States