Regionalized Pediatric Emergency Care in Rural Pennsylvania (OUTREACH)
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ClinicalTrials.gov Identifier: NCT01775033 |
Recruitment Status
:
Completed
First Posted
: January 24, 2013
Last Update Posted
: October 27, 2016
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Condition or disease | Intervention/treatment | Phase |
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Emergencies | Other: Multicomponent intervention | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 5000 participants |
Allocation: | Non-Randomized |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Health Services Research |
Official Title: | Regionalized Pediatric Emergency Care in Rural Pennsylvania: the Optimizing Utilization and Rural Emergency Access for Children Study |
Study Start Date : | June 2012 |
Actual Primary Completion Date : | June 2016 |
Actual Study Completion Date : | June 2016 |

Arm | Intervention/treatment |
---|---|
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
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Other: Multicomponent intervention
Develop, implement and evaluate an organized system of regional pediatric emergency care in rural Western Pennsylvania using four pillars: education, community, protocolized triage and transport, and telemedicine.
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No Intervention: Control
Hospitals in the control arm will receive usual care.
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- Average distance from home to the nearest facility with specialized pediatric emergency care capabilities [ Time Frame: One-year ]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)
- Incidence of emergency transfers to CHP after an index community ED visit [ Time Frame: 90 days ]
- Incidence of emergency transfers to CHP that do not result in a hospital admission [ Time Frame: 90 days ]
- Total health care encounters outside the county within three months after an index community ED visit [ Time Frame: 90 days ]
- Mortality after an index community ED visit for specified high-risk conditions (trauma, sepsis, and in the chronic disease population) [ Time Frame: 90 days ]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

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Ages Eligible for Study: | up to 18 Years (Child, Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Pennsylvania
- Medicaid beneficiary
- Less than or equal to 18 years of age
Exclusion Criteria:

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01775033
United States, Pennsylvania | |
University of Pittburgh Medical Center | |
Pittsburgh, Pennsylvania, United States, 15261 |
Study Director: | Jeremy M Kahn, MD, MS | University of Pittsburgh |
Additional Information:
Publications:
Responsible Party: | Jeremy Kahn, Associate Professor of Critical Care, Medicine and Health Policy & Management, University of Pittsburgh |
ClinicalTrials.gov Identifier: | NCT01775033 History of Changes |
Obsolete Identifiers: | NCT02306408 |
Other Study ID Numbers: |
H3AMC24076 |
First Posted: | January 24, 2013 Key Record Dates |
Last Update Posted: | October 27, 2016 |
Last Verified: | October 2016 |
Keywords provided by Jeremy Kahn, University of Pittsburgh:
Pediatrics Emergency medical services Emergency Treatment Telemedicine |
Additional relevant MeSH terms:
Emergencies Disease Attributes Pathologic Processes |