Evaluation of Behavioral Health-Virtual Patient Navigation Team (BH-VPN)

Not Applicable

Completed

• Conditions: Mental Health
• Interventions: Behavioral: BH-VPN

• Registration Number: NCT03204643
• Lead Sponsor: Wake Forest University Health Sciences

Brief Summary

Patients who present to one of the participating EDs with a telepsychiatric consult performed will be treated and followed per the behavioral health virtual patient navigation pathway (BH-VPN) or usual care. The BH-VPN is inclusive of several components which will all be consistently applied to patients randomized to the intervention, as well as having access to behavioral health trained patient navigators. These key components are often deployed inconsistently as a part of usual care, but per the intervention, will be completed in totality for subjects who are assigned to and participate in the BH-VPN plan.

This study includes a qualitative sub-study to measure perceptions of the impact of the BH-VPN on readmission rates and patient outcomes, experiences with the services provided by the BH-VPN, and provider and clinician ideas for how to improve the services provided by the BH-VPN.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-06-12
• Study First Submitted: 2017-06-28
• Study First Submitted QC: 2017-06-28
• Study First Posted: 2017-07-02
• Primary Completion: 2018-02-14
• Study Completion: 2018-03-31
• Results First Submitted: 2019-07-25
• Results First Submitted QC: 2019-09-12
• Results First Posted: 2019-10-02
• Status Verified: 2020-01
• Last Update Submitted: 2022-04-19
• Last Update Posted: 2022-04-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 637

Inclusion Criteria

• Present at a participating ED
• Completed telepsychiatric consult as captured in the EMR
• Completed telepsychiatric consult Monday - Friday during Navigator's potential hours of operation.

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Exclusion Criteria

• None per the protocol

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
BH-VPN	BH-VPN	A bundle of usual care components applied consistently and completely, plus access to mental health trained patient navigators and navigation services.

Primary Outcome Measures

Name	Time	Method
Emergency Department to Inpatient Conversion Rate	5 days	admission from the Emergency Department with behavioral health consult completed, to an inpatient or observation setting.

Secondary Outcome Measures

Name	Time	Method
Quality, Comfort, and Care (QCC) Defined Readmission Rate	30 days	readmission within 30 days to the same facility
Patient-centric (Protocol Defined) Readmission Rate	30 days	readmission within 30 days to any facility which Carolinas Healthcare System have access to the data
Utilization of Healthcare Services Post-discharge From Emergency Department	45 days	Number of Emergency Department, inpatient, observation encounters

Trial Locations

Locations (6)

Carolinas Healthcare System University; 🇺🇸 Charlotte, North Carolina, United States

Carolinas Healthcare System - Pineville; 🇺🇸 Charlotte, North Carolina, United States

Carolinas Medical Center Mercy; 🇺🇸 Charlotte, North Carolina, United States

Carolinas Healthcare System Steele Creek; 🇺🇸 Charlotte, North Carolina, United States

Carolinas Healthcare System Huntersville; 🇺🇸 Huntersville, North Carolina, United States

Carolinas Healthcare System - Union; 🇺🇸 Monroe, North Carolina, United States