Characterizing and Quantifying Challenges and Opportunities in Outpatient Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,027
- 试验地点
- 9
- 主要终点
- Incidence rate of avoidable ED visits due to a "missed" opportunity in outpatient care
研究概览
简要总结
The purpose of this research study is to determine whether there are things that Intermountain can do to break down barriers to helping patients see their primary doctors or other outpatient clinics. To do this we will develop and test a classification scheme to help us understand how we might reduce some avoidable emergency department and InstaCare visits.
详细描述
The study will develop a first-pass taxonomy that classifies the causes and effects of challenges and opportunities of outpatient care leading to potentially avoidable ED and urgent care center visits.
The study will quantify the proportion of ED and urgent care center visits that result from a challenge or opportunity in outpatient care and classify the causes and outcomes according to the taxonomy. It will also define the 30 and 90 day episode costs of ED and urgent care center visits associated with a challenges and opportunities of outpatient care beginning the day of the ED or urgent care center visit.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 7 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All Emergency Department/IC patients who can consent, including children.
排除标准
- •Unable to give consent
- •Prisoners
结局指标
主要结局
Incidence rate of avoidable ED visits due to a "missed" opportunity in outpatient care
时间窗: 1 Day
The proportion of ED visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
Incidence rate of avoidable InstaCare visits due to a "missed" opportunity in outpatient care
时间窗: 1 Day
The proportion of Instacare visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
次要结局
- Patient Disposition Status from the ED(1 Day)
- Patient Disposition Status from the InstaCare(1 Day)
- Length of stay for admitted patients(Up to 30 days)
- 30 day episode costs(30 days)
- Harms to patients due to the missed opportunities in outpatient care.(90 days)
- 90 day episode costs(90 days)