Nurse follow-up nudge to reduce emergency visits after ambulatory-sensitive diagnoses
Official title: Nurse Follow-up to Reduce Inappropriate Emergency Department Utilization in Adult Patients Seen for Ambulatory Sensitive Conditions in CMSL Study 2
Run by Geisinger Clinic · NCT07028398 · Data updated 2026-11-12
This project will test whether a nurse follow-up message or phone call after a clinic visit can reduce emergency department visits among adults (30+) diagnosed with ambulatory sensitive conditions.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 30 Years and up |
| Sex | All |
| Enrollment | 12990 (estimated) |
| Sponsor | Geisinger Clinic Academic / other |
| Locations | 1 site (Danville, Pennsylvania) |
| Status | Recruiting |
| Started | May 29, 2025 |
| Main results expected | July 31, 2026 |
| Study ends | July 31, 2026 |
| Registry record updated | February 11, 2026 |
| Trial ID | NCT07028398 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are Geisinger CMSL patients aged 30 or older who receive a qualifying ambulatory-sensitive diagnosis during a clinic visit.
✕Probably not a fit
Patients under 30, those without an ambulatory-sensitive diagnosis, people requiring immediate emergency care, or individuals without phone or patient-portal access are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, intent-to-treat study compares adults age 30+ with an ambulatory-sensitive condition who are randomly assigned to receive nurse-initiated outreach (an automated Epic prompt prompts the nurse to send a patient portal message and/or place a call) versus standard care. Outreach occurs immediately after the qualifying clinic appointment and aims to provide guidance and care coordination to prevent near-term ED use. The primary outcome is any emergency department visit within seven days of the appointment. The current protocol modifies an earlier iteration (NCT06798389) based on prior results and clinical guidance and is conducted at Geisinger's Community Medicine Service Line in Danville, Pennsylvania.
Why it matters
Potential benefit: If successful, the nudge could lower unnecessary short-term ED visits and improve timely care coordination for patients with ambulatory-sensitive conditions.
How similar studies have gone: A prior iteration of this intervention (NCT06798389) was conducted, and some nurse outreach interventions have shown reductions in ED use in certain settings, though results across studies are mixed.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 30 years + * Has a qualifying visit in CMSL with an ambulatory sensitive condition (ASC) encounter diagnosis
Where it's running
-
Geisinger
Danville, Pennsylvania, United States Recruiting
Study contacts
- Study coordinator: Amir Goren, PhD
- Email: agoren@geisinger.edu
- Phone: 570-214-3495
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Baduanjin exercise for improving health in sedentary adults
A 12-week Baduanjin exercise program is being tested to see if it can improve fitness, body composition, strength, balance, flexibility, and daily sitting time in sedentary adults aged 18–59.
-
What predicts emergency department visits in frail older adults
This project tests whether a blood marker (plasma pTau181) and signs of cerebrovascular damage can help predict which non-autonomous older adults will need to return to the emergency department within six months.
-
Dyadic, App-supported Care Management for Dementia Caregivers
A mobile health–assisted program tests whether nurse-led, dyadic care management helps family caregivers of people with dementia keep home care sustainable.
-
reSTART: remote support to help men with HIV take their medication and reduce stimulant use
This trial will test whether a remote program of positive messages, motivational support, and a home urine tenofovir self-test can help men with HIV who use stimulants remember their HIV medicines and lower their viral load.
-
Helping pregnant people manage ADHD symptoms during pregnancy and after birth
This trial will test a behavioral program called MomMA to help pregnant people with ADHD manage their symptoms during pregnancy and after the baby is born.
-
AI-generated HPI drafts in the ED: comparing to physician-written history
In the emergency department, researchers test whether an on-site AI tool can draft a history of present illness that is higher quality than the doctor’s usual note.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.