Evaluation of Behavioral Health-Virtual Patient Navigation Team (BH-VPN)

Mental Health Clinical Trial

Official title:

An Evaluation of ED to Admission Conversion Among Patients With a Telepsychiatric Consult Who Are Followed by a Behavioral Health - Virtual Patient Navigation Team

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03204643
• Other study ID #: 00021808
• Status: Completed
• Phase: N/A
• Start date: June 12, 2017
• Est. completion date: March 31, 2018

Study information

• Verified date: January 2020
• Source: Wake Forest University Health Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Patients who present to one of the participating EDs with a telepsychiatric consult performed will be treated and followed per the behavioral health virtual patient navigation pathway (BH-VPN) or usual care. The BH-VPN is inclusive of several components which will all be consistently applied to patients randomized to the intervention, as well as having access to behavioral health trained patient navigators. These key components are often deployed inconsistently as a part of usual care, but per the intervention, will be completed in totality for subjects who are assigned to and participate in the BH-VPN plan.

This study includes a qualitative sub-study to measure perceptions of the impact of the BH-VPN on readmission rates and patient outcomes, experiences with the services provided by the BH-VPN, and provider and clinician ideas for how to improve the services provided by the BH-VPN.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 637
• Est. completion date: March 31, 2018
• Est. primary completion date: February 14, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Present at a participating ED

• Completed telepsychiatric consult as captured in the EMR

• Completed telepsychiatric consult Monday - Friday during Navigator's potential hours of operation.

Exclusion Criteria:

• None per the protocol

Related Conditions & MeSH terms

• Mental Health

Intervention

Behavioral:
• BH-VPN
A bundle of usual care components, applied consistently and completely, along with access to behavioral health specific patient navigators and navigation services.

Locations

Country	Name	City	State
United States	Carolinas Healthcare System - Pineville	Charlotte	North Carolina
United States	Carolinas Healthcare System Steele Creek	Charlotte	North Carolina
United States	Carolinas Healthcare System University	Charlotte	North Carolina
United States	Carolinas Medical Center Mercy	Charlotte	North Carolina
United States	Carolinas Healthcare System Huntersville	Huntersville	North Carolina
United States	Carolinas Healthcare System - Union	Monroe	North Carolina

Sponsors (1)

Lead Sponsor	Collaborator
Wake Forest University Health Sciences

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Emergency Department to Inpatient Conversion Rate	admission from the Emergency Department with behavioral health consult completed, to an inpatient or observation setting.	5 days
Secondary	Quality, Comfort, and Care (QCC) Defined Readmission Rate	readmission within 30 days to the same facility	30 days
Secondary	Patient-centric (Protocol Defined) Readmission Rate	readmission within 30 days to any facility which Carolinas Healthcare System have access to the data	30 days
Secondary	Utilization of Healthcare Services Post-discharge From Emergency Department	Number of Emergency Department, inpatient, observation encounters	45 days