Clinical trial NCT03163225: Opportunities in Outpatient Care
Official title: Characterizing and Quantifying Challenges and Opportunities in Outpatient Care
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Outpatient Care
Keywords: outpatient care
emergency department visits
Lead sponsor: Intermountain Health Care, Inc.
Sponsor class: OTHER
First posted: 2017-05-22
Enrollment: 1027
Sex: ALL
Minimum age (years): 7
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Emergency Department/InstaCare patients

Brief summary: 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.

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 criteria: Inclusion Criteria:

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

Exclusion Criteria:

* Unable to give consent
* Prisoners

Primary outcomes:
measure: Incidence rate of avoidable ED visits due to a "missed" opportunity in outpatient care
timeFrame: 1 Day
measure: Incidence rate of avoidable InstaCare visits due to a "missed" opportunity in outpatient care
timeFrame: 1 Day
Secondary outcomes:
measure: Patient Disposition Status from the ED
timeFrame: 1 Day
measure: Patient Disposition Status from the InstaCare
timeFrame: 1 Day
measure: Length of stay for admitted patients
timeFrame: Up to 30 days
measure: Harms to patients due to the missed opportunities in outpatient care.
timeFrame: 90 days
measure: 30 day episode costs
timeFrame: 30 days
measure: 90 day episode costs
timeFrame: 90 days
Other outcomes:
Locations:
city: Murray
country: United States
facility: Cottonwood InstaCare
state: Utah
city: Murray
country: United States
facility: Intermountain Medical Center
state: Utah
city: Riverton
country: United States
facility: Riverton Hospital
state: Utah
city: Riverton
country: United States
facility: Southridge InstaCare
state: Utah
city: Salt Lake City
country: United States
facility: Salt Lake City InstaCare
state: Utah
city: Salt Lake City
country: United States
facility: Memorial InstaCare
state: Utah
city: Salt Lake City
country: United States
facility: LDS Hospital
state: Utah
city: Sandy
country: United States
facility: Sandy InstaCare
state: Utah
city: Sandy
country: United States
facility: Alta View Hospital
state: Utah
Study officials:
affiliation: Intermountain Health Care, Inc.
name: Todd Allen, MD
role: PRINCIPAL_INVESTIGATOR
References: