Decision Support System for Social Needs in ER

Recruiting in Palo Alto (17 mi)

+1 other location

Overseen byJoshua R Vest, PhD,MPH

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Indiana University

No Placebo Group

Trial Summary

What is the purpose of this trial?The overall objective of this study is to support emergency department management of patients' health-related social needs. This study will measure the impact of a decision support system that informs clinicians about which patients are likely to screen positive for a health-related social need. The system uses statistical models to create a health-related social need risk score for each patient. The main questions, the study aims to answer are: * Does providing emergency department clinicians with risk scores on health-related social needs increase screening and referral activities? * Does providing emergency department clinicians with risk scores on health-related social needs change patients' use of healthcare services? The decision support system with health-related social needs risk scores will be introduced for all adult patients at one emergency department. Screening rates, referrals, and subsequent healthcare encounters will be compared with emergency departments that did not have access to the decision support system.

Eligibility Criteria

This trial is for emergency department (ED) staff. It's designed to see if using a decision support system, which includes machine learning model results, helps them better screen patients for health-related social needs and potentially reduce repeat ED visits.

Inclusion Criteria

I am over 18 and seeking care at an emergency department in Indianapolis.

Exclusion Criteria

I am a child.

Individuals seeking care in other settings

Participant Groups

The intervention being tested is a decision support system that provides reminders to ED providers about patients' social needs based on past data. The study will measure the effectiveness of this tool in increasing screening rates and reducing return visits to the ER.

2Treatment groups

Experimental Treatment

Active Control

Group I: Decision support intervention groupExperimental Treatment1 Intervention

Adult ED patients seeking care the ED site with the health-related social needs decision support system live.

Group II: Comparison groupActive Control1 Intervention

Adult ED patients created using statistical matching from ED sites in the same metropolitan area.