Trial Outcomes & Findings for Coordinated Emergency Department Transitions (NCT NCT06933849)

Last Updated: 2026-05-27

Results Overview

Percent of eligible emergency department visits in which a case manager provided structured clinical and discharge support information to a emergency department provider about a patient who was in their care, with the goal of avoiding an unnecessary hospitalization

Recruitment status

COMPLETED

Study phase

Target enrollment

1376 participants

Primary outcome timeframe

Within 1-3 hours of emergency department registration

Results posted on

2026-05-27

Participant Flow

Participant milestones

Participant milestones
Measure	All Patients With Eligible Emergency Department Visits Structured case management: When a Bluestone Accountable Care Organization registers in an emergency department, a Bluestone chronic care manager contacts emergency department clinicians by phone and fax to provide up-to-date clinical and discharge support information.
Overall Study STARTED	1376
Overall Study COMPLETED	1376
Overall Study NOT COMPLETED	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Coordinated Emergency Department Transitions

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	All Patients With Eligible Emergency Department Visits n=1376 Participants Structured case management: When a Bluestone Accountable Care Organization registers in an emergency department, a Bluestone chronic care manager contacts emergency department clinicians by phone and fax to provide up-to-date clinical and discharge support information.
Age, Continuous	81.9 years STANDARD_DEVIATION 12.4 • n=51 Participants
Sex: Female, Male Female	921 Participants n=51 Participants
Sex: Female, Male Male	455 Participants n=51 Participants
Race (NIH/OMB) American Indian or Alaska Native	5 Participants n=51 Participants
Race (NIH/OMB) Asian	11 Participants n=51 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	1 Participants n=51 Participants
Race (NIH/OMB) Black or African American	23 Participants n=51 Participants
Race (NIH/OMB) White	1210 Participants n=51 Participants
Race (NIH/OMB) More than one race	0 Participants n=51 Participants
Race (NIH/OMB) Unknown or Not Reported	126 Participants n=51 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	19 Participants n=51 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	1214 Participants n=51 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	143 Participants n=51 Participants
Region of Enrollment United States	1376 Participants n=51 Participants

PRIMARY outcome

Timeframe: Within 1-3 hours of emergency department registration

Population: 1376 study participants had a total of 1989 emergency department visits. The unit of measure for this outcome is emergency department visits.

Outcome measures

Outcome measures
Measure	Patients With Eligible Emergency Department Visits and a Dementia Diagnosis n=869 Participants Structured case management: When a Bluestone Accountable Care Organization registers in an emergency department, a Bluestone chronic care manager contacts emergency department clinicians by phone and fax to provide up-to-date clinical and discharge support information.	Patients With Eligible Emergency Department Visits Without Dementia Diagnosis n=507 Participants Structured case management: When a Bluestone Accountable Care Organization registers in an emergency department, a Bluestone chronic care manager contacts emergency department clinicians by phone and fax to provide up-to-date clinical and discharge support information.
Percent of Eligible Emergency Department Visits With Completed Outreach	547 Emergency Department Visits	304 Emergency Department Visits

SECONDARY outcome

Timeframe: Within 24 hours of emergency department registration

Population: 705 study participants had a total of 851 emergency department visits with successful outreach conversations. The unit of measure for this outcome is emergency department visits.

Case manager self-report of whether she/he was successful in avoiding an unnecessary hospitalization of a patient after providing structured clinical and discharge support information to the emergency department provider

Outcome measures

Outcome measures
Measure	Patients With Eligible Emergency Department Visits and a Dementia Diagnosis n=547 EmergencyDepartmentVisits Structured case management: When a Bluestone Accountable Care Organization registers in an emergency department, a Bluestone chronic care manager contacts emergency department clinicians by phone and fax to provide up-to-date clinical and discharge support information.	Patients With Eligible Emergency Department Visits Without Dementia Diagnosis n=304 EmergencyDepartmentVisits Structured case management: When a Bluestone Accountable Care Organization registers in an emergency department, a Bluestone chronic care manager contacts emergency department clinicians by phone and fax to provide up-to-date clinical and discharge support information.
Percent of Successful Outreach Conversations in Which Staff Reported Avoidance of an Unnecessary Hospitalization	61 EmergencyDepartmentVisits	33 EmergencyDepartmentVisits

Adverse Events

All Patients With Eligible Emergency Department Visits

Serious events: 0 serious events

Other events: 0 other events

Deaths: 3 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ellen McCreedy

Brown University

Phone: (401) 863-7345

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place