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Opportunities in Outpatient Care

This study is not yet open for participant recruitment. (see Contacts and Locations)
Verified May 2017 by Intermountain Health Care, Inc.
Sponsor:
Information provided by (Responsible Party):
Intermountain Health Care, Inc.
ClinicalTrials.gov Identifier:
NCT03163225
First received: May 17, 2017
Last updated: May 19, 2017
Last verified: May 2017
  Purpose
The purpose of this research study is to determine whether there are things that Intermountain can do to break down barriers to helping patients see their primary doctors or other outpatient clinics. To do this we will develop and test a classification scheme to help us understand how we might reduce some avoidable emergency department and InstaCare visits.

Condition
Outpatient Care

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Characterizing and Quantifying Challenges and Opportunities in Outpatient Care

Further study details as provided by Intermountain Health Care, Inc.:

Primary Outcome Measures:
  • Incidence rate of avoidable ED visits due to a "missed" opportunity in outpatient care [ Time Frame: 1 Day ]
    The proportion of ED visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy

  • Incidence rate of avoidable InstaCare visits due to a "missed" opportunity in outpatient care [ Time Frame: 1 Day ]
    The proportion of Instacare visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy


Secondary Outcome Measures:
  • Patient Disposition Status from the ED [ Time Frame: 1 Day ]
    Disposition status from after the ED visit, collected from the medical record. Status will be one of the following: admitted, observation, transfer to facility, discharged, deceased.

  • Patient Disposition Status from the InstaCare [ Time Frame: 1 Day ]
    Disposition status from after the Instacare visit, collected from the medical record. Status may be admitted, observation, transfer to facility, discharged, or deceased.

  • Length of stay for admitted patients [ Time Frame: Up to 30 days ]
    Length in stay by days in study patients admitted to the hospital

  • Harms to patients due to the missed opportunities in outpatient care. [ Time Frame: 90 days ]
    Categorization of the "harms" on patients due to the missed opportunities in outpatient care using NCC-MERP categorizations

  • 30 day episode costs [ Time Frame: 30 days ]
    All attributable healthcare costs accrued to study patients from the date of visit to +30 days.

  • 90 day episode costs [ Time Frame: 90 days ]
    All attributable healthcare costs accrued to study patients from the date of visit to +90 days.


Estimated Enrollment: 1000
Anticipated Study Start Date: June 1, 2017
Estimated Study Completion Date: December 31, 2017
Estimated Primary Completion Date: December 31, 2017 (Final data collection date for primary outcome measure)
Detailed Description:

The study will develop a first-pass taxonomy that classifies the causes and effects of challenges and opportunities of outpatient care leading to potentially avoidable ED and urgent care center visits.

The study will quantify the proportion of ED and urgent care center visits that result from a challenge or opportunity in outpatient care and classify the causes and outcomes according to the taxonomy. It will also define the 30 and 90 day episode costs of ED and urgent care center visits associated with a challenges and opportunities of outpatient care beginning the day of the ED or urgent care center visit.

  Eligibility

Ages Eligible for Study:   7 Years and older   (Child, Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Emergency Department/InstaCare patients
Criteria

Inclusion Criteria:

  • All Emergency Department/IC patients who can consent, including children.

Exclusion Criteria:

  • Unable to give consent
  • Prisoners
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT03163225

Contacts
Contact: Todd Allen, MD (801) 442-3574 todd.allen@imail.org
Contact: John Hermans (801) 507- 4718 john.hermans@imail.org

Locations
United States, Utah
Cottonwood InstaCare Not yet recruiting
Murray, Utah, United States, 84107
Contact: James Hart, MD    801-294-1135    James.Hart@imail.org   
Intermountain Medical Center Not yet recruiting
Murray, Utah, United States, 84157
Contact: John Hermans    801-507-4718    John.Hermans@imail.org   
Contact: Valerie Aston, MBA, RT    (801) 507-4606    valerie.aston@imail.org   
Sub-Investigator: Michael Woodruff, MD         
Sub-Investigator: Joseph Bledsoe, MD         
Sub-Investigator: Brent W. Smith, MD         
Sub-Investigator: James Hart, MD         
Riverton Hospital Not yet recruiting
Riverton, Utah, United States, 84065
Contact: Todd Allen, MD    801-442-3574    Todd.Allen@imail.org   
Southridge InstaCare Not yet recruiting
Riverton, Utah, United States, 84065
Contact: James Hart, MD    801-294-1135    James.Hart@imail.org   
Salt Lake City InstaCare
Salt Lake City, Utah, United States, 84102
Memorial InstaCare Not yet recruiting
Salt Lake City, Utah, United States, 84105
Contact: James Hart, MD    801-294-1135    James.Hart@imail.org   
LDS Hospital Not yet recruiting
Salt Lake City, Utah, United States, 84143
Contact: Todd Allen, MD    801-442-3574    Todd.Allen@imail.org   
Sandy InstaCare Not yet recruiting
Sandy City, Utah, United States, 84070
Contact: James Hart, MD    801-294-1135    James.Hart@imail.org   
Alta View Hospital Not yet recruiting
Sandy City, Utah, United States, 84094
Contact: Todd Allen, MD    801-442-3574    Todd.Allen@imail.org   
Sponsors and Collaborators
Intermountain Health Care, Inc.
Investigators
Principal Investigator: Todd Allen, MD Intermountain Health Care, Inc.
  More Information

Responsible Party: Intermountain Health Care, Inc.
ClinicalTrials.gov Identifier: NCT03163225     History of Changes
Other Study ID Numbers: 1050460
Study First Received: May 17, 2017
Last Updated: May 19, 2017
Individual Participant Data  
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Intermountain Health Care, Inc.:
outpatient care
emergency department visits

ClinicalTrials.gov processed this record on May 22, 2017