Emergency Room UtilizationNCT02923024
Oscar Health Patient Pings
A study testing Patient Ping in people with Emergency Room Utilization, run by University of Pennsylvania.
Trial summary
Oscar spends a significant amount of money every year on high cost high need individuals. With this increase in health care spending, Oscar Health is looking to expand care post emergency room and inpatient utilization for their members. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Emergency Room Utilization
- What is being tested?
- Patient Ping
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- Dec 2017to Dec 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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Primary care and specialist physicians under contract with Oscar Health insurance
Who cannot join
- Any primary care and specialist physician not under contract with Oscar Health.
About this study
Official title: Utilizing Existing Technology Using Patient Pings to Increase Physician Engagement at Oscar Health
Oscar spends a significant amount of money every year on high cost high need individuals. With this increase in health care spending, Oscar Health is looking to expand care post emergency room and inpatient utilization for their members. In order to reduce hospital readmissions, reduce emergency room utilization, and increase the overall health of their members, Oscar is investing in a program to bring members better care through increased engagement with their primary care physician.
Read the detailed description
Using their existing technology, Oscar is employing a randomized controlled trial among their physicians to improve their engagement and relationships with patients. The goal will be to test and refine patient pings as a provider engagement tool, with an eye toward using it within the broader approach to high-risk patients as well. The Penn team is helping to design the intervention, which includes helping with determining what the three arms will be and randomizing physicians and practice sites. They will implement a three-arm trial with the first arm being usual care (no pings), the second arm being the intervention of information, and the third arm being the intervention of information and financial incentives. In the two intervention groups, providers will be sent patient pings after a patient experiences a trigger event. This trigger event could be an emergency room visit, admission to a hospital, or a hospital discharge event. The patient ping will be sent to the patients doctors including primary care physicians and specialists. If the patient does not have a doctor, a ping will not be sent. In the third arm, physicians will be incentivized to see patients immediately via phone call or in office visit. Physicians will receive an incentive for calling the member within 48 hours of trigger event and will receive a larger financial incentive for seeing the patient for an office visit within 7 days of trigger event. This bonus payment will be paid to physicians uncoupled from usual reimbursement as a separate bonus check to increase salience. No pings will be sent to the physicians for the patients randomized to arm 1: usual care.
- Conditions
- Emergency Room Utilization
- Being tested
- Patient Ping
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Patient PingBehavioural
The patient ping will be a fax sent from Oscar Health to physician that will include information on the physician's patient's trigger event and contact information for the physician to reach out to the member.
| Study group | Role | What they receive |
|---|---|---|
| Usual Care | No intervention | This arm will be usual care and there will be no intervention. |
| Information | Experimental | In this arm, providers will be sent patient pings after a patient experiences a trigger event. The ping will be a fax sent from Oscar to the physician alerting them of an event their patient had.This trigger event could be an emergency room visit, admission to a hospital, or a hospital discharge event. The patient ping will be sent to the patient's doctor including primary care physicians and specialists. If the patient does not have a doctor, a ping will not be sent. Receives: Behavioral: Patient Ping |
| Information and Financial Incentives | Experimental | In this arm, providers will be sent patient pings after a patient experiences a trigger event. The ping will be a fax sent from Oscar to the physician alerting them of an event their patient had.This trigger event could be an emergency room visit, admission to a hospital, or a hospital discharge event. The patient ping will be sent to the patient's doctor including primary care physicians and specialists. If the patient does not have a doctor, a ping will not be sent. Physicians will be incentivized to see patients immediately via phone call or in office visit. Physicians receive a financial incentive for calling the member within 48 hours of trigger event and will receive a larger financial incentive for seeing the patient for an office visit within 7 days of trigger event. Receives: Behavioral: Patient Ping |
What is being measured
The primary outcome is the main question the study is designed to answer.
Patient office visits with physician
The study team will measure the number of patients that saw their physician within seven days of the trigger event and patient ping.
Measured: Within 7 days of trigger event and patient ping
Physician phone call to patient
The study team will measure the number of patients that received a phone call from their physician within 48 hours of trigger event.
Measured: 48 hours of trigger event and patient ping
Secondary outcomes (2)
Number of emergency room visits post trigger event
The study team will measure emergency room utilization post trigger event.
Measured: 6 months
Number of outpatient visits post trigger event
The study team will measure outpatient utilization post trigger event.
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Oct 2016 (estimated)
- Study startDec 2017 (estimated)
- Primary completionJul 2018 (estimated)
- Study completionDec 2018 (estimated)
Why it stopped: Project was cancelled before any participants were enrolled.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Emergency Room UtilizationStudies of the same condition, open and under way.
- More trials run by University of PennsylvaniaThe 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
- Participant
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Pennsylvania
- Sponsor type
- University, hospital or other
- Collaborators
- Oscar Health Insurance
- Responsible party
- Principal investigator, Amol Navathe, University of Pennsylvania
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02923024
- Sponsor's protocol ID
- 825856
- Status last verified
- Dec 2018
- First submitted
- 29 Sep 2016
- Last updated
- 12 Dec 2018
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Dec 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Utilizing Existing Technology Using Patient Pings to Increase Physician Engagement at Oscar Health
- ClinicalTrials.gov ID
- NCT02923024
- Acronym / sponsor ID
- 825856
- Conditions
- Emergency Room Utilization
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Project was cancelled before any participants were enrolled.
- Enrolment
- 0 participants (actual)
- Lead sponsor
- University of PennsylvaniaUniversity, hospital or other
- Collaborators
- Oscar Health Insurance
- Study start
- Dec 2017 (estimated)
- Primary completion
- Jul 2018 (estimated)
- Study completion
- Dec 2018 (estimated)
- First posted
- 4 Oct 2016 (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.
Oscar spends a significant amount of money every year on high cost high need individuals. With this increase in health care spending, Oscar Health is looking to expand care post emergency room and inpatient utilization for their members. In order to reduce hospital readmissions, reduce emergency room utilization, and increase the overall health of their members, Oscar is investing in a program to bring members better care through increased engagement with their primary care physician.
Detailed description
Using their existing technology, Oscar is employing a randomized controlled trial among their physicians to improve their engagement and relationships with patients. The goal will be to test and refine patient pings as a provider engagement tool, with an eye toward using it within the broader approach to high-risk patients as well. The Penn team is helping to design the intervention, which includes helping with determining what the three arms will be and randomizing physicians and practice sites. They will implement a three-arm trial with the first arm being usual care (no pings), the second arm being the intervention of information, and the third arm being the intervention of information and financial incentives. In the two intervention groups, providers will be sent patient pings after a patient experiences a trigger event. This trigger event could be an emergency room visit, admission to a hospital, or a hospital discharge event. The patient ping will be sent to the patients doctors including primary care physicians and specialists. If the patient does not have a doctor, a ping will not be sent. In the third arm, physicians will be incentivized to see patients immediately via phone call or in office visit. Physicians will receive an incentive for calling the member within 48 hours of trigger event and will receive a larger financial incentive for seeing the patient for an office visit within 7 days of trigger event. This bonus payment will be paid to physicians uncoupled from usual reimbursement as a separate bonus check to increase salience. No pings will be sent to the physicians for the patients randomized to arm 1: usual care.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Usual Care | No intervention | –This arm will be usual care and there will be no intervention. |
| Information | Experimental | Behavioral: Patient PingIn this arm, providers will be sent patient pings after a patient experiences a trigger event. The ping will be a fax sent from Oscar to the physician alerting them of an event their patient had.This trigger event could be an emergency room visit, admission to a hospital, or a hospital discharge event. The patient ping will be sent to the patient's doctor including primary care physicians and specialists. If the patient does not have a doctor, a ping will not be sent. |
| Information and Financial Incentives | Experimental | Behavioral: Patient PingIn this arm, providers will be sent patient pings after a patient experiences a trigger event. The ping will be a fax sent from Oscar to the physician alerting them of an event their patient had.This trigger event could be an emergency room visit, admission to a hospital, or a hospital discharge event. The patient ping will be sent to the patient's doctor including primary care physicians and specialists. If the patient does not have a doctor, a ping will not be sent. Physicians will be incentivized to see patients immediately via phone call or in office visit. Physicians receive a financial incentive for calling the member within 48 hours of trigger event and will receive a larger financial incentive for seeing the patient for an office visit within 7 days of trigger event. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- Primary care and specialist physicians under contract with Oscar Health insurance
Key exclusion criteria (1 listed)
- Any primary care and specialist physician not under contract with Oscar Health.
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 |
|---|---|---|
| Patient PingThe patient ping will be a fax sent from Oscar Health to physician that will include information on the physician's patient's trigger event and contact information for the physician to reach out to the member. | Behavioural | Information, Information and Financial Incentives |
Primary outcome
Patient office visits with physician
Time frame: Within 7 days of trigger event and patient ping
The study team will measure the number of patients that saw their physician within seven days of the trigger event and patient ping.
Physician phone call to patient
Time frame: 48 hours of trigger event and patient ping
The study team will measure the number of patients that received a phone call from their physician within 48 hours of trigger event.
2 secondary outcomes
Number of emergency room visits post trigger event
Time frame: 6 months
Number of outpatient visits post trigger event
Time frame: 6 months
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Dec 2018.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A study testing Patient Ping in people with Emergency Room Utilization, run by University of Pennsylvania.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. 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: withdrawn, as of the sponsor's last update on 12 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.
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 withdrawn before enrolling participants, so there are no results.
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?
Patient office visits with physician (time frame: Within 7 days of trigger event and patient ping). The study lists 2 primary outcomes in all. 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 12 Dec 2018.