Emergency Care Action Plans for Infants With Medical Complexity

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An Emergency Care Action Plan (ECAP) is a tool intended to be helpful to providers when treating a child with complex medical needs during an emergency. Once created, ECAPs are added to the Electronic Health Record (EHR), shared with the child's caregiver(s), and kept up by all of those involved in a child's care. The goal of this study is to measure important health outcomes (ex. inpatient days, emergency department visits) in terms of the use of the ECAP for infants discharged from the Neonatal Intensive Care Unit (NICU). This study will also measure other real-time potential challenges related to the use of the ECAP including, but not limited to, if it is being used, if providers and caregivers want to use it, and if they keep using it over a long period of time.

Conditions:

Children With Medical Complexity Child, Only Infant Morbidity Infant Conditions Utilization, Health Care Emergencies Chronic Condition

Study Start (Actual) 2024-08-01

Primary Completion (Estimated) 2027-08-08

Study Completion (Estimated) 2028-08-08

Enrollment (Estimated) 50

Study Type INTERVENTIONAL

Phase NA

Locations:

📍 Burlington, Vermont, United States

Eligibility Criteria

Description

Inclusion Criteria:

* Age 0 to 6 months
* Admitted to the University of Vermont Medical Center Neonatal Intensive Care Unit (NICU)
* Meets or is expected to meet Children with Medical Complexity status as determined by the treating NICU clinician and defined as "children with multiple significant chronic health problems including multiple organ systems, which result in functional limitations, high health care needs or utilization, and often require need for, or use of, medical technology."

Exclusion Criteria:

* Does not have a caregiver participant who agrees to their participation in the study to complete follow-up surveys
* Does not intend to use University of Vermont Health Network and affiliated sites for care during the one-year trial period

Ages Eligible for Study: N/A to 6 Months (CHILD)

Sexes Eligible for Study: ALL

Accepts Healthy Volunteers: No

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

First Submitted2024-05-30
First Submitted that Met QC Criteria2024-05-30
First Posted2024-06-05

Study Record Updates

Last Update Submitted that Met QC Criteria2024-05-30
Last Update Posted2024-06-05
Last Verified2024-05