Primary-care-provider Identification And Notification

Emergency Clinical Trial

— PIANO  

Official title:

Identifying Primary Care Providers and Notifying Them Upon Admission of Their Patients to New York-Presbyterian Hospital

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01984645
• Other study ID #: AAAK1805
• Status: Completed
• Phase: N/A
• First received: October 30, 2013
• Last updated: February 17, 2016
• Start date: September 2012
• Est. completion date: July 2015

Study information

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

Clinical Trial Summary

New York-Presbyterian Hospital has created a system that notifies its primary care providers whenever their patients are admitted to the hospital. In this study, the investigators want to evaluate how accurate this system is and how it is affecting the primary providers and their health care delivery.

Description:

The investigators will interview the participating providers to understand if they were aware of the admission of their patients, and how they want to get involved in the care of that patient while he/she is in hospital. The investigators will also look at the data in the Electronic Health Record system to understand how providers are acting in response to the notifications.

Lastly, the investigators will determine if the notifications have resulted in any change in the care of the patients, specifically in terms of the number of days from discharge until the next clinic visit.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 7023
• Est. completion date: July 2015
• Est. primary completion date: March 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Primary Care Provider at the New York Presbyterian.

Exclusion Criteria:

• No clinic rotation during the study period

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Emergencies
• Emergency

Intervention

Other:
• Notification
Providers in the intervention group will receive a secure electronic notification when their patients are visited in the emergency department or admitted as an inpatient.

Locations

Country	Name	City	State
United States	Columbia University Medical Center	New York	New York

Sponsors (1)

Lead Sponsor	Collaborator
Columbia University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Average rate of readmission to inpatient setting	The investigators will compare the rate of readmission for patients associated with providers in the two arms of the study, to assess if provider's notification about their patient's visit to the emergency department has any effect on rate of readmission.	1 year	No
Primary	Mean duration until first post-discharge outpatient visit	The investigators will measure the time from each patient's discharge until their first follow-up visit in the outpatient setting. The investigators hypothesize that the automated notification will result is earlier post-discharge followups.	1 year	No
Secondary	Mean number of secure health messages (SHMs)	Once a primary care provider is notified about their patient's admission via a secure health message (SHM), the investigators will measure number of such SHMs that are read within 24 hours and within 7 days	1-7 days after each admission	No