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Evaluation of Behavioral Health-Virtual Patient Navigation Team (BH-VPN)

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ClinicalTrials.gov Identifier: NCT03204643
Recruitment Status : Recruiting
First Posted : July 2, 2017
Last Update Posted : February 6, 2018
Sponsor:
Information provided by (Responsible Party):
Carolinas Healthcare System

June 28, 2017
July 2, 2017
February 6, 2018
June 12, 2017
February 28, 2018   (Final data collection date for primary outcome measure)
Emergency Department to inpatient conversion rate [ Time Frame: 5 days ]
admission from the Emergency Department with behavioral health consult completed, to an inpatient or observation setting.
Same as current
Complete list of historical versions of study NCT03204643 on ClinicalTrials.gov Archive Site
  • Quality, Comfort, and Care (QCC) defined readmission rate [ Time Frame: 30 days ]
    readmission within 30 days to the same facility
  • Patient-centric (protocol defined) readmission rate [ Time Frame: 30 days ]
    readmission within 30 days to any facility which Carolinas Healthcare System have access to the data
  • Utilization of healthcare services post-discharge from Emergency Department [ Time Frame: 45 days ]
    Number of Emergency Department, inpatient, observation encounters
  • Quality, Comfort, and Care (QCC) defined readmission rate [ Time Frame: 30 days ]
    readmission within 30 days to the same facility
  • Patient-centric (protocol defined) readmission rate [ Time Frame: 30 days ]
    readmission within 30 days to any facility which Carolinas Healthcare System have access to the data
  • Utilization of healthcare services post-discharge from Emergency Department [ Time Frame: 45 days, 90 days ]
    Number of Emergency Department, inpatient, observation encounters
Not Provided
Not Provided
 
Evaluation of Behavioral Health-Virtual Patient Navigation Team (BH-VPN)
An Evaluation of ED to Admission Conversion Among Patients With a Telepsychiatric Consult Who Are Followed by a Behavioral Health - Virtual Patient Navigation Team

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.

Not Provided
Interventional
Not Applicable
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Mental Health
Behavioral: BH-VPN
A bundle of usual care components, applied consistently and completely, along with access to behavioral health specific patient navigators and navigation services.
  • Experimental: BH-VPN
    A bundle of usual care components applied consistently and completely, plus access to mental health trained patient navigators and navigation services.
    Intervention: Behavioral: BH-VPN
  • No Intervention: Usual Care
    The standard intervention (Control - Usual Care) is given in this population. May contain some of the BH-VPN components.
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
460
Same as current
April 30, 2018
February 28, 2018   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • 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.

Exclusion Criteria:

  • None per the protocol
Sexes Eligible for Study: All
18 Years and older   (Adult, Older Adult)
Yes
Contact: Wayne Sparks, MD 704-631-1654 wayne.sparks@carolinashealthcare.org
Contact: Jason Roberge, PhD 704-355-0268 jason.roberge@carolinashealthcare.org
United States
 
 
NCT03204643
00021808
Yes
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD: No
Carolinas Healthcare System
Carolinas Healthcare System
Not Provided
Principal Investigator: Wayne Sparks, MD Carolinas Healthcare System
Study Director: Jason Roberge, PhD Carolinas Healthcare System
Carolinas Healthcare System
February 2018

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