ClinicalTrials.gg
CompletedNCT02533856ETOCUpdated Oct 21, 2016

Trial of Emergency Department Discharge With Enhanced Transitions of Care Compared to Usual Care

An interventional study of ETOC in Patient Discharge and Emergency Care, sponsored by Thomas Jefferson University. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-10-21.

Sponsored by Thomas Jefferson University · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
316
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a randomized controlled trial to assess the relative effectiveness of providing Enhanced Transitions of Care (ETOC) to improve patient outcomes after discharge from the Emergency Department (ED). Patients who are being discharged from the ED and have had a previous ED visit or hospital admission within the Thomas Jefferson Hospital System (TJUH or Methodist) within the past 90 days will be eligible for enrollment in this trial. Patients who consent to enrollment will be randomized to discharge by usual care or discharge with ETOC as provided by the company BoardRounds.

02

Conditions studied

  • Patient Discharge
  • Emergency Care
03

In context

Lead sponsor

Thomas Jefferson University is the lead sponsor of 390 studies on the registry; 72 are open to participants now.

Of its 45 completed or terminated interventional studies of FDA-regulated products, 21 (47%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult (18 yrs and older) patients
  • Have had a previous ED visit or hospital admission in the 90 days prior to the current ED visit (at Thomas Jefferson University Hospital or Methodist Hospital)
  • Have just completed evaluation in the Thomas Jefferson University Hospital Emergency Department for any problem,
  • Are ready for discharge from the Thomas Jefferson University Hospital ED, and
  • Provide informed consent

Exclusion criteria

Exclusion Criteria:

  • Non-English speaking patients
  • Patients undergoing medical clearance for a detox center or any involuntary court or magistrate order
  • Patients who live outside Philadelphia area (unable to seek follow-up care in Philadelphia) or other condition known to preclude follow-up (such as no reliable access to a telephone)
  • Patients in police custody or currently incarcerated individuals
  • Patients who have, in their clinician's best judgment, major communication barriers such as visual or hearing impairment or dementia that would compromise their ability to give written informed consent
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
316 participants (actual)

Study arms

  • No intervention
    Usual Care

    Discharge from emergency department by usual care

  • Experimental
    ETOC

    Discharge from emergency department with increased support services provided by BoardRounds after ED discharge

    Other: ETOC

Interventions

  • OtherETOC

    Services provided to assist patients in accessing needed healthcare services after emergency department discharge such as scheduling appointments, finding new doctors, getting medications, or addressing problems with insurance coverage.

06

What researchers measure

Primary outcomes

  1. Total number of ED visits, hospital admissions, and outpatient office visits as determined by medical record review and patient report

    30-day healthcare utilization will be measured by assessing the total number of ED treat-and-release visits, hospital admissions, and outpatient care visits in the 30 days after study enrollment - will be reported in aggregate and separately for each type of utilization (ED, inpatient hospital stay, office visit). Counts will be determined by medical record review for visits occurring within the health system, and will be supplemented by patient report in a 30-day survey to determine utilization outside the health system.

    Time frame: 30 days

Secondary outcomes

  1. Total number of ED visits, hospital admissions, and outpatient office visits as determined by medical record review and patient report

    9-day healthcare utilization will be measured by assessing the total number of ED treat-and-release visits, hospital admissions, and outpatient care visits in the 30 days after study enrollment - will be reported in aggregate and separately for each type of utilization (ED, inpatient hospital stay, office visit). Counts will be determined by medical record review for visits occurring within the health system, and will be supplemented by patient report in a 30-day survey to determine utilization outside the health system.

    Time frame: 9 days

  2. Description of types of and count (per type) of assistance received by patients in accessing needed healthcare services as assessed by patient survey

    Patients will be surveyed at 30 days to determine the types of assistance received, and frequency with which each type was received, in accessing needed healthcare services since their discharge from the ED.

    Time frame: 30 days

  3. Description of types of and count (per type) of assistance received by patients in accessing needed healthcare services as assessed by patient survey

    Patients will be surveyed at 30 days to determine the types of assistance received, and frequency with which each type was received, in accessing needed healthcare services since their discharge from the ED.

    Time frame: 9 days

  4. Assessment of whether patient had unmet needs in accessing needed healthcare services, as determined by patient survey

    Determination of whether patient had unmet needs (yes/no) in accessing needed healthcare services in the 30-days after ED discharge as identified by patient in a survey administered at 30 days post-discharge.

    Time frame: 30 days

  5. Assessment of whether patient had unmet needs in accessing needed healthcare services, as determined by patient survey

    Determination of whether patient had unmet needs (yes/no) in accessing needed healthcare services in the 9-days after ED discharge as identified by patient in a survey administered at 9 days post-discharge.

    Time frame: 9 days

Other outcomes

  1. Description of unmet needs in accessing needed healthcare services as assessed in a patient survey

    This will be a descriptive outcome to describe the types and counts of unmet needs that are identified by patients in the 30-days after ED discharge, as assessed in a survey administered 30 days after discharge. There will not be statistical analysis performed on this outcome, rather it will be descriptive and exploratory regarding patient primary struggles after ED discharge.

    Time frame: 30 days

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Aug 2015, a primary completion of May 2016 and a completion of May 2016. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 21, 2015
First posted
Aug 27, 2015
Start
Aug 2015
Primary completionActual
May 2016
CompletionActual
May 2016
Last update
Oct 21, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 21, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02533856
Responsible party
Sponsor
First posted
Aug 27, 2015
Start date
Aug 2015
Primary completion
May 2016
Completion
May 2016
Last update
Oct 21, 2016

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2016. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion