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Regionalized Pediatric Emergency Care in Rural Pennsylvania (OUTREACH)

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborator:
Health Resources and Services Administration (HRSA)
Information provided by (Responsible Party):
Jeremy Kahn, University of Pittsburgh
ClinicalTrials.gov Identifier:
NCT01775033
First received: January 21, 2013
Last updated: May 19, 2014
Last verified: May 2014

January 21, 2013
May 19, 2014
June 2012
June 2016   (final data collection date for primary outcome measure)
Average distance from home to the nearest facility with specialized pediatric emergency care capabilities [ Time Frame: One-year ] [ Designated as safety issue: No ]
This population-based outcome will act as a measure of access and relates to HRSA Maternal Child Health Bureau performance measure AHS-8 and AHS-9 (access to pre-hospital EMS and wait times)
Same as current
Complete list of historical versions of study NCT01775033 on ClinicalTrials.gov Archive Site
  • Incidence of emergency transfers to CHP after an index community ED visit [ Time Frame: 90 days ] [ Designated as safety issue: No ]
  • Incidence of emergency transfers to CHP that do not result in a hospital admission [ Time Frame: 90 days ] [ Designated as safety issue: No ]
  • Total health care encounters outside the county within three months after an index community ED visit [ Time Frame: 90 days ] [ Designated as safety issue: No ]
  • Mortality after an index community ED visit for specified high-risk conditions (trauma, sepsis, and in the chronic disease population) [ Time Frame: 90 days ] [ Designated as safety issue: No ]
    These outcomes will address our goal to increase child health and related to the HRSA Maternal Child Health Bureau performance measures MICH-1,2 and 3
Same as current
Not Provided
Not Provided
 
Regionalized Pediatric Emergency Care in Rural Pennsylvania
Regionalized Pediatric Emergency Care in Rural Pennsylvania: the Optimizing Utilization and Rural Emergency Access for Children Study

The overall goal of this project is to develop and evaluate an organized, regional system of pediatric emergency care in rural western Pennsylvania.

The OUTREACH project will develop, implement and evaluate an organized system of regional pediatric emergency care in rural western Pennsylvania. Toward that end the investigators have developed three broad goals: (1) to define the key barriers and potential solutions to regionalized pediatric emergency care through community stakeholder engagement; (2) to implement a regionalized system of pediatric emergency care using education, community outreach and telemedicine; and (3) evaluate the impact of the system on health care access and outcomes for rural children. The investigators will implement the intervention in a sample of rural hospitals in Pennsylvania using a staggered roll-out design, and compare outcomes of children seen in these hospitals to similar matched hospitals in the state, using Pennsylvania state Medicaid data to evaluate the impact of the intervention.

Interventional
Not Provided
Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Emergencies [Disease/Finding]
Other: Multicomponent intervention
  • Experimental: Multicomponent intervention
    Hospitals in the experimental arm will receive a four-component intervention that integrates local education, community outreach, telemedicine and protocolized triage and transport
    Intervention: Other: Multicomponent intervention
  • No Intervention: Control
    Hospitals in the control arm will receive usual care.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
5000
Not Provided
June 2016   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Pennsylvania
  • Medicaid beneficiary
  • Less than or equal to 18 years of age

Exclusion Criteria:

  • None
Both
up to 18 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01775033
H3AMC24076
No
Jeremy Kahn, University of Pittsburgh
University of Pittsburgh
Health Resources and Services Administration (HRSA)
Study Director: Jeremy M Kahn, MD, MS University of Pittsburgh
University of Pittsburgh
May 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP