Outpatient CareNCT03163225
Opportunities in Outpatient Care
An observational study of Outpatient Care, run by Intermountain Health Care, Inc. at 9 sites in United States.
Trial summary
The purpose of this research study is to determine whether there are things that Intermountain can do to break down barriers to helping patients see their primary doctors or other outpatient clinics. Read more about this study
- Who is it for?
- Ages 7 years and olderHealthy volunteers can take part
- Conditions the study is for
- Outpatient Care
- How many people
- 1,027 participants
- Where
- 9 sitesUnited States
- Study dates
- 1 Sep 2017to 31 Oct 2017
- Phase
- Observational
- 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 7 years and older
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: Emergency Department/InstaCare patients
Who may be able to join
- All Emergency Department/IC patients who can consent, including children.
Who cannot join
- Unable to give consent
- Prisoners
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
United States9 sites
Cottonwood InstaCare
Murray, Utah, 84107
Intermountain Medical Center
Murray, Utah, 84157
Riverton Hospital
Riverton, Utah, 84065
Southridge InstaCare
Riverton, Utah, 84065
Salt Lake City InstaCare
Salt Lake City, Utah, 84102
Memorial InstaCare
Salt Lake City, Utah, 84105
LDS Hospital
Salt Lake City, Utah, 84143
Sandy InstaCare
Sandy City, Utah, 84070
Alta View Hospital
Sandy City, Utah, 84094
About this study
Official title: Characterizing and Quantifying Challenges and Opportunities in Outpatient Care
The purpose of this research study is to determine whether there are things that Intermountain can do to break down barriers to helping patients see their primary doctors or other outpatient clinics. To do this we will develop and test a classification scheme to help us understand how we might reduce some avoidable emergency department and InstaCare visits.
Read the detailed description
The study will develop a first-pass taxonomy that classifies the causes and effects of challenges and opportunities of outpatient care leading to potentially avoidable ED and urgent care center visits.
The study will quantify the proportion of ED and urgent care center visits that result from a challenge or opportunity in outpatient care and classify the causes and outcomes according to the taxonomy. It will also define the 30 and 90 day episode costs of ED and urgent care center visits associated with a challenges and opportunities of outpatient care beginning the day of the ED or urgent care center visit.
- Conditions
- Outpatient Care
- Keywords
- outpatient care, emergency department visits
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence rate of avoidable ED visits due to a "missed" opportunity in outpatient care
The proportion of ED visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
Measured: 1 Day
Incidence rate of avoidable InstaCare visits due to a "missed" opportunity in outpatient care
The proportion of Instacare visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
Measured: 1 Day
Secondary outcomes (6)
Patient Disposition Status from the ED
Disposition status from after the ED visit, collected from the medical record. Status will be one of the following: admitted, observation, transfer to facility, discharged, deceased.
Measured: 1 Day
Patient Disposition Status from the InstaCare
Disposition status from after the Instacare visit, collected from the medical record. Status may be admitted, observation, transfer to facility, discharged, or deceased.
Measured: 1 Day
Length of stay for admitted patients
Length in stay by days in study patients admitted to the hospital
Measured: Up to 30 days
Harms to patients due to the missed opportunities in outpatient care.
Categorization of the "harms" on patients due to the missed opportunities in outpatient care using NCC-MERP categorizations
Measured: 90 days
30 day episode costs
All attributable healthcare costs accrued to study patients from the date of visit to +30 days.
Measured: 30 days
90 day episode costs
All attributable healthcare costs accrued to study patients from the date of visit to +90 days.
Measured: 90 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2017
- Study start1 Sep 2017
- Primary completion31 Oct 2017
- Study completion31 Oct 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Outpatient CareStudies of the same condition, open and under way.
- 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,027 participants (actual)
Sponsor and investigators
- Lead sponsor
- Intermountain Health Care, Inc.
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Todd Allen, MD, Principal investigator, Intermountain Health Care, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03163225
- Sponsor's protocol ID
- 1050460
- Status last verified
- Aug 2018
- First submitted
- 17 May 2017
- Last updated
- 14 Aug 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 14 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Characterizing and Quantifying Challenges and Opportunities in Outpatient Care
- ClinicalTrials.gov ID
- NCT03163225
- Acronym / sponsor ID
- 1050460
- Conditions
- Outpatient Care
- Keywords
- outpatient care, emergency department visits
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,027 participants (actual)
- Lead sponsor
- Intermountain Health Care, Inc.University, hospital or other
- Study start
- 1 Sep 2017 (actual)
- Primary completion
- 31 Oct 2017 (actual)
- Study completion
- 31 Oct 2017 (actual)
- First posted
- 22 May 2017 (actual)
- 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 purpose of this research study is to determine whether there are things that Intermountain can do to break down barriers to helping patients see their primary doctors or other outpatient clinics. To do this we will develop and test a classification scheme to help us understand how we might reduce some avoidable emergency department and InstaCare visits.
Detailed description
The study will develop a first-pass taxonomy that classifies the causes and effects of challenges and opportunities of outpatient care leading to potentially avoidable ED and urgent care center visits.
The study will quantify the proportion of ED and urgent care center visits that result from a challenge or opportunity in outpatient care and classify the causes and outcomes according to the taxonomy. It will also define the 30 and 90 day episode costs of ED and urgent care center visits associated with a challenges and opportunities of outpatient care beginning the day of the ED or urgent care center visit.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 7 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Emergency Department/InstaCare patients
Key inclusion criteria (1 listed)
- All Emergency Department/IC patients who can consent, including children.
Key exclusion criteria (2 listed)
- Unable to give consent
- Prisoners
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Incidence rate of avoidable ED visits due to a "missed" opportunity in outpatient care
Time frame: 1 Day
The proportion of ED visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
Incidence rate of avoidable InstaCare visits due to a "missed" opportunity in outpatient care
Time frame: 1 Day
The proportion of Instacare visits during the selected shifts that were deemed to be potentially avoidable according to the developed taxonomy
6 secondary outcomes
Patient Disposition Status from the ED
Time frame: 1 Day
Patient Disposition Status from the InstaCare
Time frame: 1 Day
Length of stay for admitted patients
Time frame: Up to 30 days
Harms to patients due to the missed opportunities in outpatient care.
Time frame: 90 days
30 day episode costs
Time frame: 30 days
90 day episode costs
Time frame: 90 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 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.
Todd Allen, MD principal investigator
Intermountain Health Care, Inc.
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Outpatient Care, run by Intermountain Health Care, Inc. at 9 sites 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?
The sponsor lists 1 inclusion and 2 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: finished, as of the sponsor's last update on 14 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Incidence rate of avoidable ED visits due to a "missed" opportunity in outpatient care (time frame: 1 Day). 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 14 Aug 2018.