Clinical trial NCT03204643: Evaluation of Behavioral Health-Virtual Patient Navigation Team (BH-VPN)
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
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Health
Lead sponsor: Wake Forest University Health Sciences
Sponsor class: OTHER
First posted: 2017-07-02
Enrollment: 637
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Emergency Department to Inpatient Conversion Rate
timeFrame: 5 days
Secondary outcomes:
measure: Quality, Comfort, and Care (QCC) Defined Readmission Rate
timeFrame: 30 days
measure: Patient-centric (Protocol Defined) Readmission Rate
timeFrame: 30 days
measure: Utilization of Healthcare Services Post-discharge From Emergency Department
timeFrame: 45 days
Other outcomes:
Locations:
city: Charlotte
country: United States
facility: Carolinas Medical Center Mercy
state: North Carolina
city: Charlotte
country: United States
facility: Carolinas Healthcare System - Pineville
state: North Carolina
city: Charlotte
country: United States
facility: Carolinas Healthcare System University
state: North Carolina
city: Charlotte
country: United States
facility: Carolinas Healthcare System Steele Creek
state: North Carolina
city: Huntersville
country: United States
facility: Carolinas Healthcare System Huntersville
state: North Carolina
city: Monroe
country: United States
facility: Carolinas Healthcare System - Union
state: North Carolina
Study officials:
affiliation: Wake Forest University Health Sciences
name: Wayne Sparks, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Wake Forest University Health Sciences
name: Jason Roberge, PhD
role: STUDY_DIRECTOR
References:
citation: Roberge J, McWilliams A, Zhao J, Anderson WE, Hetherington T, Zazzaro C, Hardin E, Barrett A, Castro M, Balfour ME, Rachal J, Krull C, Sparks W. Effect of a Virtual Patient Navigation Program on Behavioral Health Admissions in the Emergency Department: A Randomized Clinical Trial. JAMA Netw Open. 2020 Jan 3;3(1):e1919954. doi: 10.1001/jamanetworkopen.2019.19954.