Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01797068
Other study ID # 1007007154
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date March 2013

Study information

Verified date November 2016
Source Yale University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

A large proportion of frequent ED users have Medicaid insurance. The purpose of this study is to evaluate the effectiveness of patient navigation for reducing Emergency Department (ED) visits and hospitalizations and improving patient-centered outcomes (e.g., self-reported health status, quality of life, access/barriers to care) among Medicaid patients who are high utilizers of the ED, as well as to identify best practices for engaging and providing healthcare services to underserved patients using patient navigation. This study will address needs that have been identified within the New Haven community and the local healthcare system, contribute to knowledge and literature surrounding the use of patient navigation to improve care for underserved patients and improve health system efficiency, and inform the design and development of programs that address these needs both locally and in other communities.


Recruitment information / eligibility

Status Completed
Enrollment 100
Est. completion date
Est. primary completion date March 2015
Accepts healthy volunteers No
Gender All
Age group 18 Years to 62 Years
Eligibility Inclusion Criteria:

- 4-18 ED visits per year

- Frequent ED users

- age 18 to 62

- Medicaid insurance only

- Those living in the greater New Haven area (i.e. having a zip code that matches that)

Exclusion Criteria:

- the current visit for primary psychiatric or substance abuse

- more than 50% of all ED visits in the past year for primary psychiatric or substance abuse.

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Patient Navigator
Patients in the intervention group will be offered patient navigation and timely access to comprehensive care and services through Project Access-New Haven (PA-NH), a local non-profit organization that coordinates the provision of donated medical care and services to underserved patients through a network of participating hospitals and volunteer physicians.
Other:
Standard of Care
Patients in the standard of care group will experience the usual intake process in the ED setting.

Locations

Country Name City State
United States Yale New Haven Hospital New Haven Connecticut

Sponsors (1)

Lead Sponsor Collaborator
Yale University

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of ED visits Additional outcomes include number of hospitalizations, number of outpatient visits, and outpatient imaging utilization. One Year
Secondary Number of hospitalizations One Year
Secondary Number of outpatient visits One Year
Secondary Costs by analyzing global use with Medicaid claims data One year
See also
  Status Clinical Trial Phase
Terminated NCT03048565 - A Trial of an Online Mindfulness Based Programme for Informal Caregivers of People With Chronic Illnesses N/A
Recruiting NCT05785494 - Web-based Support for Family Caregivers of Patients With Advanced Cancer N/A
Completed NCT03601884 - Effectiveness of OHP in Improving Self-efficacy in Patients With Diabetes Mellitus N/A
Recruiting NCT03170167 - Communitas: A Program for Teens Living With Chronic Illness and Their Families
Completed NCT01955005 - Use of the My HealtheVet for Health Information Sharing N/A
Completed NCT01107119 - Integrated Care Pathways in a Community Setting N/A
Completed NCT00194584 - Childhood Chronic Illness: An Educational Program for Parents of Children With On-Going Health Care Needs N/A
Completed NCT03434626 - Advance Care Planning & Goals of Care Randomized Controlled Trial in Primary Care N/A
Recruiting NCT05437978 - "Sport on Prescription" in Primary Care for Patients With Long-term Illnesses N/A
Completed NCT03067207 - In-Person vs e-Health Mindfulness-Based Intervention for Adolescents With Chronic Illness N/A
Completed NCT02277327 - Trial to Reduce Hospitalizations in Children With Medical Complexity Phase 2
Recruiting NCT01480765 - Preventing Pain After Heart Surgery Phase 4
Completed NCT01834456 - Comprehensive Care of Children With Medical Complexity N/A
Completed NCT00773942 - Design & Evaluation of a Medication Therapy Management Program to Improve Patient Safety in Medicare Beneficiaries N/A
Terminated NCT00399373 - Structuring the Integration of Care Management Services For Medicaid Enrollees Recipients With Chronic Illness, Substance Abuse Problems and Possible Psychiatric Disorders N/A
Completed NCT02925897 - Enhancing Self-care in the Housebound N/A
Completed NCT01321853 - Home Care Medication Management Program for the Frail Elderly Phase 1
Completed NCT03295097 - Characteristics and Clinical Implications of a Clinical Decision Support System N/A
Suspended NCT04978610 - Virtual ACT for Adolescent Stress N/A
Completed NCT02386189 - Pilot Study to Improve Care Coordination N/A