Primary-care-provider Identification And Notification (PIANO)

Identifying Primary Care Providers and Notifying Them Upon Admission of Their Patients to New York-Presbyterian Hospital

New York-Presbyterian Hospital has created a system that notifies its primary care providers whenever their patients are admitted to the hospital. In this study, the investigators want to evaluate how accurate this system is and how it is affecting the primary providers and their health care delivery.

Study Overview

• Status: Completed
• Conditions: Emergency
• Intervention / Treatment: Other: Notification

Detailed Description

The investigators will interview the participating providers to understand if they were aware of the admission of their patients, and how they want to get involved in the care of that patient while he/she is in hospital. The investigators will also look at the data in the Electronic Health Record system to understand how providers are acting in response to the notifications.

Lastly, the investigators will determine if the notifications have resulted in any change in the care of the patients, specifically in terms of the number of days from discharge until the next clinic visit.

• Study Type: Interventional
• Enrollment (Actual): 7023
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • New York
    • New York, New York, United States, 10032
      • Columbia University Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Primary Care Provider at the New York Presbyterian.

Exclusion Criteria:

• No clinic rotation during the study period

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Notification; Providers in this arm will receive a secure online notification whenever their patients are visited in the emergency department or admitted as an inpatient.	Other: Notification; Providers in the intervention group will receive a secure electronic notification when their patients are visited in the emergency department or admitted as an inpatient.
No Intervention: No intervention; Providers in this arm will not get a secure online notification about their patient's visit to the emergency department or inpatient admission.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Mean duration until first post-discharge outpatient visit	The investigators will measure the time from each patient's discharge until their first follow-up visit in the outpatient setting. The investigators hypothesize that the automated notification will result is earlier post-discharge followups.	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Mean number of secure health messages (SHMs)	Once a primary care provider is notified about their patient's admission via a secure health message (SHM), the investigators will measure number of such SHMs that are read within 24 hours and within 7 days	1-7 days after each admission

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Average rate of readmission to inpatient setting	The investigators will compare the rate of readmission for patients associated with providers in the two arms of the study, to assess if provider's notification about their patient's visit to the emergency department has any effect on rate of readmission.	1 year

Collaborators and Investigators

• Sponsor: Columbia University
• Investigators: Principal Investigator: David K Vawdrey, PhD, Columbia University

Study record dates

Study Major Dates

• Study Start: September 1, 2012
• Primary Completion (Actual): March 1, 2015
• Study Completion (Actual): July 1, 2015

Study Registration Dates

• First Submitted: October 30, 2013
• First Submitted That Met QC Criteria: November 7, 2013
• First Posted (Estimate): November 15, 2013

Study Record Updates

• Last Update Posted (Estimate): February 19, 2016
• Last Update Submitted That Met QC Criteria: February 17, 2016
• Last Verified: February 1, 2016

More Information

Terms related to this study

• Keywords: Inpatient; Emergency Visit; Secure Health messaging
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: AAAK1805

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO