Chronic Illness Clinical Trial
Official title:
Patient Navigation to Improve Care and Reduce Costs for High Utilizers of the Emergency Department
NCT number | NCT01797068 |
Other study ID # | 1007007154 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | March 2013 |
Verified date | November 2016 |
Source | Yale University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
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. |
Country | Name | City | State |
---|---|---|---|
United States | Yale New Haven Hospital | New Haven | Connecticut |
Lead Sponsor | Collaborator |
---|---|
Yale University |
United States,
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 |
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