Virtual Visits at Brigham and Women's Hospital: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 77
- 试验地点
- 2
- 主要终点
- Days until third available appointment
研究概览
简要总结
Clinicians slated for virtual visit rollout will be randomized (stratified by department) to either receive immediate virtual visit on-boarding (intervention arm) or delayed (3-months later) virtual visit on-boarding (control arm). The investigators plan to enroll no more than 200 clinicians.
Any clinician in a department selected by the Brigham Health Virtual Care team for access to virtual visits is eligible, unless s/he saw less than 20 patients monthly over the last 6 months.
The Brigham Health Virtual Care team will onboard all clinicians and provide virtual visit support as per their usual protocol. The primary study endpoint is third-available appointment, a well-adopted measure of access. Other secondary endpoints revolve around continuity, efficiency, utilization, safety, cost, and patient experience.
详细描述
If enrolled in the intervention arm, the following steps will occur:
- The clinician will receive the intervention arm follow-up email ("Follow-up Email - Intervention" in the Appendix).
- The Brigham Health Virtual Care team will work with the clinician toward immediate on-boarding (software training, hardware setup, technical support) as per their usual process.
- The clinician will schedule virtual visits as s/he and/or her/his department see fit. Virtual visits occur on an already-in-use Partners- and Brigham-approved video platform (attached).
If enrolled in the control arm, the following steps will occur:
- The clinician will receive the control arm follow-up email ("Follow-up Email - Control" in the Appendix).
- Three months from the time of the follow-up email, the Brigham Health Virtual Care team will work with the clinician toward immediate on-boarding (software training, hardware setup, technical support) as per their usual process.
- The clinician will schedule virtual visits as s/he and/or her/his department see fit. Virtual visits occur on an already-in-use Partners- and Brigham-approved video platform (attached).
The investigators plan to follow patients of both clinician cohorts for a total of 6-months. The investigators will perform retrospective review of patient electronic health records and patients will receive a redcap survey (attached), an evaluation mechanism already employed by the Virtual Care team.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Clinician whose department is chosen for virtual visit rollout
排除标准
- •Clinician who saw on average fewer than 20 patients monthly over the past 6 months
- •Clinician who opts out of virtual visits
结局指标
主要结局
Days until third available appointment
时间窗: Through study completion, an average of 6 months
Number of days until the third available routine appointment, obtained at 12 o'clock each Friday (embargoed appointments not included). The mean of all of the weeks is a clinician's average number of days until the third available routine appointment.
次要结局
- Number of inpatient admissions(Through study completion, an average of 6 months)
- Frequency of visits with the usual provider of care(Through study completion, an average of 6 months)
- Visit time(Through study completion, an average of 6 months)
- Clinician volume per day(Through study completion, an average of 6 months)
- Number of labs ordered(Through study completion, an average of 6 months)
- Days until first available appointment(Through study completion, an average of 6 months)
- Clinician volume per hour(Through study completion, an average of 6 months)
- Number of specialist visits(Through study completion, an average of 6 months)
- Continuity of care index(Through study completion, an average of 6 months)
- Clinician volume per 6 months(Through study completion, an average of 6 months)
- Patient Experience(Sent electronically within 1 week of the in-person or virtual visit)
- Future capacity: percentage of open appointment slots(Through study completion, an average of 6 months)
- Slot utilization(Through study completion, an average of 6 months)
- Number of emergency department visits(Through study completion, an average of 6 months)
- Number of medications prescribed(Through study completion, an average of 6 months)
- No show rate(Through study completion, an average of 6 months)
- Clinician volume per month(Through study completion, an average of 6 months)
- Number of primary care visits(Through study completion, an average of 6 months)
- Number of imaging studies(Through study completion, an average of 6 months)
- Revenue from virtual or in-person visit(Through study completion, an average of 6 months)
研究者
David Levine
Associate Physician
Brigham and Women's Hospital