RecruitingNot ApplicableNCT07185828

Informing Low-acuity Emergency Department Patients of Non-emergent Resources (2)

Informing Low-acuity Emergency Department Patients of Non-emergent Healthcare Resources Following Discharge to Decrease Emergency Department Utilization (2)

Sponsor

Geisinger Clinic

Enrollment

8,286 participants

Start Date

Apr 15, 2025

Study Type

INTERVENTIONAL

Conditions

Behavior Change Interventions Emergency Service, Hospital

Summary

The goal of this campaign is to reduce unnecessary visits to a Geisinger emergency department (ED). In this campaign, patients will be assigned to receive or not receive outreach following ED discharge with a low-acuity visit designation. Outreach will occur via a text message the day after discharge from the ED as well as information added to the patient's after visit summary (AVS). Depending on the assigned condition, it will include calls to see their primary care provider (PCP) or use an Intelligent Triage tool. The study will assess whether ED use within the following 120 days differs across patients in different outreach conditions (current standard practice vs contact your PCP vs use Intelligent Triage). It will also examine whether patients follow through on the message-specific calls to action differently across conditions.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This behavioral study at Geisinger Health System tests whether a targeted text message sent the day after a low-urgency emergency department (ED) visit — along with information added to the patient's after-visit summary — can reduce unnecessary future ED visits by directing patients toward better alternatives like their primary care provider (PCP) or an online Intelligent Triage tool. Adults aged 18 or older who were discharged from a Geisinger ED within the past 24 hours with a low-acuity visit designation (level 4 or 5) and who can receive SMS messages are eligible; admitted patients, those already included in the intervention within the past year, or those without valid contact information are excluded. Participants are randomly assigned to one of three outreach conditions, and researchers track ED use over the following 120 days. This summary was prepared as patient-facing educational content using AI assistance.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALContact your PCP

Text messages will be sent and discharge paperwork will be modified to encourage contacting a primary care provider.

BEHAVIORALUse Intelligent Triage

Text messages will be sent and discharge paperwork will be modified to encourage using Intelligent Triage.

Locations(1)

Geisinger

Danville, Pennsylvania, United States

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NCT07185828

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