NCT06798389

CMSL Ambulatory Sensitive Condition Nudge

Nurse Follow-up to Reduce Inappropriate Emergency Department Utilization in Adult Patients Seen for Ambulatory Sensitive Conditions in CMSL

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 3,016 (actual)
• Sponsor: Geisinger Clinic · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The project aims to evaluate a nurse-led intervention to reduce inappropriate emergency department (ED) use among adult patients seen at Geisinger's Community Medicine Service Line (CMSL) clinics. The intervention occurs immediately following an appointment where they received a diagnosis of an ambulatory sensitive condition (ASC). The evaluation will compare eligible patients with an ASC who were randomly assigned to receive follow-up outreach from a nurse (who was automatically prompted via the Epic electronic health record system to initiate outreach) with those who were randomly assigned to receive standard care. Analyses will be intent-to-treat. The primary outcome is ED use in the week following the appointment.

Conditions

• Behavioral Intervention
• Emergency Department Visits
• Nurse Care Coordination

Interventions

Type	Name	Description
BEHAVIORAL	Nurse Nudge	Nurses will be nudged to call the patients, which may increase the likelihood that the patient receives a post-appointment follow-up call.

Timeline

• Start date: 2025-01-06
• Primary completion: 2025-04-01
• Completion: 2025-04-01
• First posted: 2025-01-29
• Last updated: 2025-04-24

Locations

1 site across 1 country: United States