Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT07042477

Integrated Telemedicine Program Evaluation

Led by Geisinger Clinic · Updated on 2025-06-29

3200

Participants Needed

1

Research Sites

45 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This project will evaluate a virtual, on-demand telemedicine program for High emergency department (ED) utilizers with comorbid physical health conditions and behavioral health correlates. Researchers will randomize patients to have either full access to the full intervention (treatment group) or to receive only standard care (control group). Analyses will be intent-to-treat. The primary outcome is the number of ED visits 120 days after the first Best Practice Alert (BPA) firing. The research team plans to enroll 3200 patients in this study. However, randomization may end due to system constraints on December 31, 2025 before reaching that target. This sample provides 80% power to detect a 35% relative reduction in ED utilization using a two-tailed test with an alpha of .15, assuming 40% compliance with the program.

CONDITIONS

Official Title

Integrated Telemedicine Program Evaluation

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 18 years of age or older
  • At least 4 visits to a Geisinger Emergency Department in the past 6 months
  • Member of the Geisinger Health Plan insurance
  • Has a primary care provider within the Geisinger Health System
  • Receiving care at one of the specified Geisinger facilities: Lewistown Hospital, Medical Center, Bloomsburg Hospital, Jersey Shore Hospital, Community Medical Hospital, Wyoming Valley, Medical Center Muncy, Shamokin ACH Hospital, or South Wilkes Barre
Not Eligible

You will not qualify if you...

  • Being treated in departments deemed ineligible by the study team
  • Diagnosis of alcohol or substance-related disorders
  • Scheduled to receive inpatient care
  • Coded as Level 1 in the Emergency Department (seeking life-saving measures)
  • Having an Intellectual Disability or Traumatic Brain Injury
  • Actively receiving care from a behavioral health provider

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Geisinger Clinic

Danville, Pennsylvania, United States, 17822

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

2

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