CMSL Ambulatory Sensitive Condition Nudge

Geisinger Health

Status: Completed

Conditions: Emergency Department Visits; Nurse Care Coordination; Behavioral Intervention

Treatments: Behavioral: Nurse Nudge

Study type: Interventional

Funder types: Other

Identifiers

NCT06798389

2023-1716

Details and patient eligibility

About

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.

Enrollment: 3,016 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Age 18 years +
• Has a visit in CMSL with an ambulatory sensitive condition (ASC) encounter diagnosis

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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3,016 participants in 2 patient groups

Nurse Nudge

Experimental group

Description:

Nurses in CMSL clinics will receive a notification to provide follow-up outreach to patients after the patient receives an ambulatory sensitive diagnosis.

Treatment:

Behavioral: Nurse Nudge

Control

No Intervention group

Description:

Nurses in CMSL clinics will receive standard follow-up notifications, which may mean no notifications, after a patient has received an ambulatory sensitive diagnosis.