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CompletedNCT05787548Updated Feb 26, 2024

Reducing Emergency Department Utilization With an After Visit Summary Nudge Toward Alternative Care Options

An interventional study of Contact information and Urgent care map in Behavior, Health, sponsored by Geisinger Clinic. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-26.

Sponsored by Geisinger Clinic · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
239,841
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Decreasing utilization of the Emergency Department (ED) is a priority for the system. Often, ED visits can be avoided if patients contact Geisinger first to get appropriate direction for their concern or are otherwise better informed about reasons to visit the ED vs. urgent care or primary care facilities. The study team is working to reduce ED utilization by including additional information in adult outpatient After Visit Summaries (AVSs). The study will involve will involve A/B testing different AVS versions, including 1) a version that encourages patients to contact Geisinger via different contact methods, 2) a version that includes a map to the patient's closest ConvenientCare location and accompanying information about ConvenientCare, and 3) a version that includes a self-triage guide. A control group will receive the current standard AVS. Analysis results will be assessed to determine which version is most effective at reducing ED use.

02

Conditions studied

  • Behavior, Health

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Keywords

  • Emergency Department Use
  • Urgent Care Use
03

In context

Emergencies

1,692 studies on the registry are indexed under Emergencies; 333 are open to participants now.

This study's enrollment of 239,841 is above the median of 145 across 931 interventional studies indexed under Emergencies.

Browse Emergencies studies →

Lead sponsor

Geisinger Clinic is the lead sponsor of 125 studies on the registry; 21 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 7 (78%) 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

Inclusion criteria

  • Age 18+
  • Has a Geisinger Primary Care Physician assigned
  • Completes an outpatient office visit or telemedicine appointment at Geisinger

Exclusion criteria

Exclusion Criteria:

  • The AVS was not printed according to the EHR, and the patient does not have an active MyGeisinger patient portal account, so they do not have a way to view the AVS
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
239,841 participants (actual)

Study arms

  • No intervention
    Standard practice

    Patients in this arm will receive the current standard practice AVS.

  • Experimental
    Contact us first

    Patients in this arm will receive the standard AVS, plus information on how to contact Geisinger if they need medical attention.

    Behavioral: Contact information

  • Experimental
    Contact us first + urgent care map

    Patients in this arm will receive the standard AVS, plus information on how to contact Geisinger if they need medical attention, plus a map to their nearest Geisinger urgent care location and additional information about urgent care.

    Behavioral: Contact information · Behavioral: Urgent care map

  • Experimental
    Contact us first + urgent care map + self-triage

    Patients in this arm will receive the standard AVS, plus information on how to contact Geisinger if they need medical attention, plus a map to their nearest Geisinger urgent care location and additional information about urgent care. This arm will also receive a self-triage chart, with common reasons patients go to the ED and situations where seeking alternative care might be appropriate.

    Behavioral: Contact information · Behavioral: Urgent care map · Behavioral: Self-triage chart

Interventions

  • BehavioralContact information

    Information on how to contact Geisinger if the patient needs care

  • BehavioralUrgent care map

    A map of the patient's nearest Geisinger urgent care location, with information about urgent care

  • BehavioralSelf-triage chart

    A chart demonstrating what to do in response to several common conditions where the patient might be compelled to visit the ED

06

What researchers measure

Primary outcomes

  1. Inappropriate ED visits

    Visited the ED inappropriately (y/n) We will apply the NYU algorithm (Ballard et al., 2010) to determine whether an ED visit is inappropriate.

    Time frame: In the 30 days following the appointment

Other outcomes

  1. Urgent care visits

    Visited urgent care (y/n)

    Time frame: In the 30 days following the appointment

  2. Calls

    Called Geisinger (y/n)

    Time frame: In the 30 days following the appointment

  3. Patient portal messages

    Sent a patient portal message (y/n)

    Time frame: In the 30 days following the appointment

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Study locations

1 site
  • Geisinger Clinic
    Danville, Pennsylvania 17822, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · Feb 22, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Data with no personally identifiable information will be made available to other researchers on the Open Science Framework for transparency. This will include the essential data and code needed to replicate the analysis that yielded reported findings.

Supporting information: Study protocol, Sap, Analytic code

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05787548
Lead sponsor
Geisinger Clinic
Responsible party
Amir Goren (Program Director, Behavioral Insights Team, Geisinger Clinic) — Principal investigator
First posted
Mar 28, 2023
Start date
Apr 3, 2023
Primary completion
Dec 11, 2023
Completion
Dec 11, 2023
Last update
Feb 26, 2024

Study contacts

Amir Goren, PhD
principal investigator · Geisinger Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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