Evaluation of Behavioral Health-Virtual Patient Navigation Team (BH-VPN)
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|ClinicalTrials.gov Identifier: NCT03204643|
Recruitment Status : Completed
First Posted : July 2, 2017
Last Update Posted : September 19, 2018
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.
|Condition or disease||Intervention/treatment||Phase|
|Mental Health||Behavioral: BH-VPN||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||637 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||An Evaluation of ED to Admission Conversion Among Patients With a Telepsychiatric Consult Who Are Followed by a Behavioral Health - Virtual Patient Navigation Team|
|Actual Study Start Date :||June 12, 2017|
|Actual Primary Completion Date :||February 14, 2018|
|Actual Study Completion Date :||March 31, 2018|
A bundle of usual care components applied consistently and completely, plus access to mental health trained patient navigators and navigation services.
A bundle of usual care components, applied consistently and completely, along with access to behavioral health specific patient navigators and navigation services.
No Intervention: Usual Care
The standard intervention (Control - Usual Care) is given in this population. May contain some of the BH-VPN components.
- 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.
- 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
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): NCT03204643
|United States, North Carolina|
|Carolinas Medical Center Mercy|
|Charlotte, North Carolina, United States, 28207|
|Carolinas Healthcare System - Pineville|
|Charlotte, North Carolina, United States, 28210|
|Carolinas Healthcare System University|
|Charlotte, North Carolina, United States, 28262|
|Carolinas Healthcare System Steele Creek|
|Charlotte, North Carolina, United States, 28278|
|Carolinas Healthcare System Huntersville|
|Huntersville, North Carolina, United States, 28078|
|Carolinas Healthcare System - Union|
|Monroe, North Carolina, United States, 28112|
|Principal Investigator:||Wayne Sparks, MD||Carolinas Healthcare System|
|Study Director:||Jason Roberge, PhD||Carolinas Healthcare System|