Regionalized Pediatric Emergency Care in Rural Pennsylvania (OUTREACH)

University of Pittsburgh

Status: Completed

Conditions: Emergencies

Treatments: Other: Multicomponent intervention

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT01775033

H3AMC24076

Details and patient eligibility

About

The overall goal of this project is to develop and evaluate an organized, regional system of pediatric emergency care in rural western Pennsylvania.

Full description

The OUTREACH project will develop, implement and evaluate an organized system of regional pediatric emergency care in rural western Pennsylvania. Toward that end the investigators have developed three broad goals: (1) to define the key barriers and potential solutions to regionalized pediatric emergency care through community stakeholder engagement; (2) to implement a regionalized system of pediatric emergency care using education, community outreach and telemedicine; and (3) evaluate the impact of the system on health care access and outcomes for rural children. The investigators will implement the intervention in a sample of rural hospitals in Pennsylvania using a staggered roll-out design, and compare outcomes of children seen in these hospitals to similar matched hospitals in the state, using Pennsylvania state Medicaid data to evaluate the impact of the intervention.

Enrollment: 5,000 patients

Sex: All

Ages: Under 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pennsylvania
• Medicaid beneficiary
• Less than or equal to 18 years of age

Exclusion criteria

• None

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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5,000 participants in 2 patient groups

Multicomponent intervention

Experimental group

Description:

Hospitals in the experimental arm will receive a four-component intervention that integrates local education, community outreach, telemedicine and protocolized triage and transport

Treatment:

Other: Multicomponent intervention

Control

No Intervention group

Description:

Hospitals in the control arm will receive usual care.