Complex PatientsNCT01875068
A Program of Physician Supervision to Improve the Quality of Patient Referrals From Nurse Practitioners and Physician Assistants
A study testing Consultations between NPs and PAs and their supervising physicians in people with Complex Patients, run by Mayo Clinic at 1 site in United States.
Trial summary
The investigators have previously demonstrated utilizing a validated tool, that the quality of referrals from nurse practitioners (NP) and physician assistants (PA) is less than referrals from physicians. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Complex Patients
- What is being tested?
- Consultations between NPs and PAs and their supervising physicians
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 42 participants
- Where
- 1 siteUnited States
- Study dates
- Jul 2013to 5 Jun 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
All nurse practitioners and physician assistants in the Mayo Clinic Health System
Trial locations and contacts
1 site in 1 country.
United States1 site
Mayo Clinic in Rochester
Rochester, Minnesota, 55905
About this study
Official title: Implementing a Program of Physician Supervision to Improve the Quality of Patient Referrals From Nurse Practitioners and Physician Assistants
The investigators have previously demonstrated utilizing a validated tool, that the quality of referrals from nurse practitioners (NP) and physician assistants (PA) is less than referrals from physicians. The investigators hypothesize that with local physician input, the quality of referrals from nurse practitioners and physician assistants will improve. This is a prospective study comparing patient referrals from nurse practitioners and physician assistants with and without prior discussion with a local physician.
- Conditions
- Complex Patients
- Being tested
- Consultations between NPs and PAs and their supervising physicians, versus NPs and PAs who are not required to discuss patient referrals (control group).
- Keywords
- referrals, nurse practitioners, physician assistants, consultative general internal medicine
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Consultations between NPs and PAs and their supervising physiciansBehavioural
Required discussion with physician prior to referral by a nurse practitioner or physician assistant
versus NPs and PAs who are not required to discuss patient referrals (control group).Behavioural
| Study group | Role | What they receive |
|---|---|---|
| NPs & PAs referral discussions with a supervising physician | Experimental | required consultations between NPs and PAs and their supervising physicians Receives: Behavioral: Consultations between NPs and PAs and their supervising physicians |
| NPs and PAs - no consultations with supervising physisians | Other | NPs and PAs who are not required to discuss patient referrals Receives: Behavioral: versus NPs and PAs who are not required to discuss patient referrals (control group). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Improved referrals from nurse practitioners and physician assistants to physicians as determined using a previously validated tool
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jun 2013 (estimated)
- Study startJul 2013
- Primary completion5 Jun 2018
- Study completion5 Jun 2018
Why it stopped: Unable to recruit adequate numbers for study
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Complex PatientsStudies of the same condition, open and under way.
- More trials run by Mayo ClinicThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 42 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mayo Clinic
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, William C. Mundell, M.D., Mayo Clinic
- Investigators
- Robert Lohr, MD, Principal investigator, Mayo Clinic
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01875068
- Sponsor's protocol ID
- 13-002913
- Status last verified
- Oct 2019
- First submitted
- 3 Jun 2013
- Last updated
- 3 Oct 2019
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Oct 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Implementing a Program of Physician Supervision to Improve the Quality of Patient Referrals From Nurse Practitioners and Physician Assistants
- ClinicalTrials.gov ID
- NCT01875068
- Acronym / sponsor ID
- 13-002913
- Conditions
- Complex Patients
- Keywords
- referrals, nurse practitioners, physician assistants, consultative general internal medicine
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Unable to recruit adequate numbers for study
- Enrolment
- 42 participants (actual)
- Lead sponsor
- Mayo ClinicUniversity, hospital or other
- Study start
- Jul 2013
- Primary completion
- 5 Jun 2018 (actual)
- Study completion
- 5 Jun 2018 (actual)
- First posted
- 11 Jun 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The investigators have previously demonstrated utilizing a validated tool, that the quality of referrals from nurse practitioners (NP) and physician assistants (PA) is less than referrals from physicians. The investigators hypothesize that with local physician input, the quality of referrals from nurse practitioners and physician assistants will improve. This is a prospective study comparing patient referrals from nurse practitioners and physician assistants with and without prior discussion with a local physician.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| NPs & PAs referral discussions with a supervising physician | Experimental | Behavioral: Consultations between NPs and PAs and their supervising physiciansrequired consultations between NPs and PAs and their supervising physicians |
| NPs and PAs - no consultations with supervising physisians | Other | Behavioral: versus NPs and PAs who are not required to discuss patient referrals (control group).NPs and PAs who are not required to discuss patient referrals |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Consultations between NPs and PAs and their supervising physiciansRequired discussion with physician prior to referral by a nurse practitioner or physician assistant | Behavioural | NPs & PAs referral discussions with a supervising physician |
| versus NPs and PAs who are not required to discuss patient referrals (control group). | Behavioural | NPs and PAs - no consultations with supervising physisians |
Primary outcome
Improved referrals from nurse practitioners and physician assistants to physicians as determined using a previously validated tool
Time frame: 2 years
Results and safety
The study was stopped early (reason given: Unable to recruit adequate numbers for study). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Oct 2019.
- Mayo Clinic Clinical TrialsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert Lohr, MD principal investigator
Mayo Clinic
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Consultations between NPs and PAs and their supervising physicians in people with Complex Patients, run by Mayo Clinic at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 3 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was stopped early (reason given: Unable to recruit adequate numbers for study). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Improved referrals from nurse practitioners and physician assistants to physicians as determined using a previously validated tool (time frame: 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Oct 2019.