PartnerED Care: Coordinated Emergency Department Transitions for Assisted Living Patients With Alzheimer's Disease and Related Dementias

Not Applicable

Completed

• Conditions: Alzheimer Disease or Associated Disorder

• Registration Number: NCT06933849
• Lead Sponsor: Brown University

Brief Summary

The goal of this observational study is to learn the feasibility, acceptability, appropriateness, and adherence to a case management intervention. PartnerED is a case management intervention that aims to reduce unnecessary hospital admissions by providing real-time, structured information and discharge support to emergency department providers via phone and fax. The intervention is led by chronic care managers employed by Bluestone Accountable Care Organization, a physician group primarily serving patients in assisted living centers.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-11-01
• Primary Completion: 2024-06-30
• Study Completion: 2024-06-30
• Status Verified: 2025-03
• Study First Submitted: 2025-03-30
• Study First Submitted QC: 2025-04-16
• Last Update Submitted: 2025-04-16
• Study First Posted: 2025-04-18
• Last Update Posted: 2025-04-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1989

Inclusion Criteria

• Bluestone Accountable Care Organization patient
• Registration in emergency department between November 1, 2023 and June 30, 2024, as recorded in electronic admission, discharge, and transfer notifications

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Percent of eligible emergency department visits with completed outreach	Within 1-3 hours of emergency department registration	Percent of eligible emergency department visits in which a case manager provided structured clinical and discharge support information to a emergency department provider about a patient who was in their care, with the goal of avoiding an unnecessary hospitalization

Secondary Outcome Measures

Name	Time	Method
Percent of successful outreach conversations in which staff reported avoidance of an unnecessary hospitalization	Within 24 hours of emergency department registration	Case manager self-report of whether she/he was successful in avoiding an unnecessary hospitalization of a patient after providing structured clinical and discharge support information to the emergency department provider

Trial Locations

Locations (1)

Bluestone Accountable Care Organization; 🇺🇸 Omaha, Nebraska, United States