An Evaluation of ED to Admission Conversion Among Patients With a Telepsychiatric Consult Who Are Followed by a Behavioral Health - Virtual Patient Navigation Team
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 637
- 试验地点
- 6
- 主要终点
- Emergency Department to Inpatient Conversion Rate
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 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
- •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.
排除标准
- •None per the protocol
研究组 & 干预措施
BH-VPN
A bundle of usual care components applied consistently and completely, plus access to mental health trained patient navigators and navigation services.
干预措施: BH-VPN (Behavioral)
Usual Care
The standard intervention (Control - Usual Care) is given in this population. May contain some of the BH-VPN components.
结局指标
主要结局
Emergency Department to Inpatient Conversion Rate
时间窗: 5 days
admission from the Emergency Department with behavioral health consult completed, to an inpatient or observation setting.
次要结局
- Patient-centric (Protocol Defined) Readmission Rate(30 days)
- Utilization of Healthcare Services Post-discharge From Emergency Department(45 days)
- Quality, Comfort, and Care (QCC) Defined Readmission Rate(30 days)
