Regionalized Pediatric Emergency Care in Rural Pennsylvania

Emergencies Clinical Trial

— OUTREACH  

Official title:

Regionalized Pediatric Emergency Care in Rural Pennsylvania: the Optimizing Utilization and Rural Emergency Access for Children Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01775033
• Other study ID #: H3AMC24076
• Status: Completed
• Phase: N/A
• First received: January 21, 2013
• Last updated: October 25, 2016
• Start date: June 2012
• Est. completion date: June 2016

Study information

• Verified date: October 2016
• Source: University of Pittsburgh
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The overall goal of this project is to develop and evaluate an organized, regional system of pediatric emergency care in rural western Pennsylvania.

Description:

The OUTREACH project will develop, implement and evaluate an organized system of regional pediatric emergency care in rural western Pennsylvania. Toward that end the investigators have developed three broad goals: (1) to define the key barriers and potential solutions to regionalized pediatric emergency care through community stakeholder engagement; (2) to implement a regionalized system of pediatric emergency care using education, community outreach and telemedicine; and (3) evaluate the impact of the system on health care access and outcomes for rural children. The investigators will implement the intervention in a sample of rural hospitals in Pennsylvania using a staggered roll-out design, and compare outcomes of children seen in these hospitals to similar matched hospitals in the state, using Pennsylvania state Medicaid data to evaluate the impact of the intervention.

Other known NCT identifiers

• NCT02306408

Recruitment information / eligibility

• Status: Completed
• Enrollment: 5000
• Est. completion date: June 2016
• Est. primary completion date: June 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A to 18 Years

Eligibility

Inclusion Criteria:

• Pennsylvania

• Medicaid beneficiary

• Less than or equal to 18 years of age

Exclusion Criteria:

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Emergencies

Intervention

Other:
• Multicomponent intervention
Develop, implement and evaluate an organized system of regional pediatric emergency care in rural Western Pennsylvania using four pillars: education, community, protocolized triage and transport, and telemedicine.

Locations

Country	Name	City	State
United States	University of Pittburgh Medical Center	Pittsburgh	Pennsylvania

Sponsors (2)

Lead Sponsor	Collaborator
University of Pittsburgh	Health Resources and Services Administration (HRSA)

Country where clinical trial is conducted

United States, 

References & Publications (2)

Berger E. Growing pains: Report notes pediatric emergencies need greater emphasis. Ann Emerg Med. 2006 Aug;48(2):143-4. — View Citation

Lorch SA, Myers S, Carr B. The regionalization of pediatric health care. Pediatrics. 2010 Dec;126(6):1182-90. doi: 10.1542/peds.2010-1119. Epub 2010 Nov 1. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Average distance from home to the nearest facility with specialized pediatric emergency care capabilities	This population-based outcome will act as a measure of access and relates to HRSA Maternal Child Health Bureau performance measure AHS-8 and AHS-9 (access to pre-hospital EMS and wait times)	One-year	No
Secondary	Incidence of emergency transfers to CHP after an index community ED visit		90 days	No
Secondary	Incidence of emergency transfers to CHP that do not result in a hospital admission		90 days	No
Secondary	Total health care encounters outside the county within three months after an index community ED visit		90 days	No
Secondary	Mortality after an index community ED visit for specified high-risk conditions (trauma, sepsis, and in the chronic disease population)	These outcomes will address our goal to increase child health and related to the HRSA Maternal Child Health Bureau performance measures MICH-1,2 and 3	90 days	No

External Links

•   Study web site