NCT01797068

Patient Navigation for Medicaid Frequent ED Users

Patient Navigation to Improve Care and Reduce Costs for High Utilizers of the Emergency Department

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (actual)
• Sponsor: Yale University · Academic / Other
• Sex: All
• Age: 18 Years – 62 Years
• Healthy volunteers: Not accepted

Summary

A large proportion of frequent ED users have Medicaid insurance. The purpose of this study is to evaluate the effectiveness of patient navigation for reducing Emergency Department (ED) visits and hospitalizations and improving patient-centered outcomes (e.g., self-reported health status, quality of life, access/barriers to care) among Medicaid patients who are high utilizers of the ED, as well as to identify best practices for engaging and providing healthcare services to underserved patients using patient navigation. This study will address needs that have been identified within the New Haven community and the local healthcare system, contribute to knowledge and literature surrounding the use of patient navigation to improve care for underserved patients and improve health system efficiency, and inform the design and development of programs that address these needs both locally and in other communities.

Conditions

• Chronic Illness

Interventions

Type	Name	Description
BEHAVIORAL	Patient Navigator	Patients in the intervention group will be offered patient navigation and timely access to comprehensive care and services through Project Access-New Haven (PA-NH), a local non-profit organization that coordinates the provision of donated medical care and services to underserved patients through a network of participating hospitals and volunteer physicians.
OTHER	Standard of Care	Patients in the standard of care group will experience the usual intake process in the ED setting.

Timeline

• Start date: 2013-03-01
• Primary completion: 2015-03-01
• First posted: 2013-02-22
• Last updated: 2020-03-30

Locations

1 site across 1 country: United States