N/A
N=637
Evaluation of Behavioral Health-Virtual Patient Navigation Team (BH-VPN)
Mental Health
Bottom Line
View on ClinicalTrials.gov: NCT03204643 ↗Enrolled (actual)
637
Serious AEs
0.0%
Results posted
Oct 2019
Primary outcome: Primary: Emergency Department to Inpatient Conversion Rate — 178; 198 participants — p=0.06
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- BH-VPN (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Wake Forest University Health Sciences
- Primary completion
- Feb 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Emergency Department to Inpatient Conversion Rate |
178; 198 | 0.06 |
| SECONDARY Quality, Comfort, and Care (QCC) Defined Readmission Rate |
7; 2 | 0.76 |
| SECONDARY Patient-centric (Protocol Defined) Readmission Rate |
28; 23 | 0.62 |
| SECONDARY Utilization of Healthcare Services Post-discharge From Emergency Department |
112; 89 | 0.08 |
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.
Eligibility Criteria
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
Data sourced from ClinicalTrials.gov (NCT03204643). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.