Reducing VA No-Shows: Evaluation of Predictive Overbooking Applied to Colonoscopy (No-show)
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.|
|ClinicalTrials.gov Identifier: NCT01639443|
Recruitment Status : Completed
First Posted : July 12, 2012
Results First Posted : October 31, 2016
Last Update Posted : April 12, 2018
|Condition or disease||Intervention/treatment||Phase|
|Colon Cancer||Other: Predictive no-show overbooking||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||180 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Reducing VA No-Shows: Evaluation of Predictive Overbooking Applied to Colonoscopy|
|Actual Study Start Date :||July 8, 2013|
|Actual Primary Completion Date :||July 6, 2015|
|Actual Study Completion Date :||June 30, 2016|
'Predictive no-show overbooking' intervention. Patients who volunteer to enroll in "fast-track" line, which gives them an opportunity to overbook their appointment for endoscopy earlier in a predictive no-show slots.
Other: Predictive no-show overbooking
During intervention period, every Veteran scheduled for an endoscopy will be offered "fast-track" offer, which gives them a chance to get their endoscopy procedure done earlier than usual scheduling by overbooking their appointment in a predictive no-show slot.
No Intervention: Control
Patients who are scheduled routinely
- Percentage of GI Clinic Capacity Filled [ Time Frame: After 12 months of running study in clinic ]Investigators' primary objective will be to evaluate the impact of no-show predictive overbooking on percentage of the GI endoscopy clinic that are filled on a given day. Days where at least one Fast-tracked patient attended an appointment were compared to days where only Control patients attended appointments. Percentage of GI Clinic Capacity is calculated as the number of appointments completed divided by number of appointment spots available on a given day. This percentage was compared between Fast-tracked days and Control days, using data from 1672 patients.
- Scheduling-to-procedure Lag Time [ Time Frame: After 12 months of running study in clinic ]The investigators will calculate the mean daily lag time for all colonoscopy and upper endoscopies performed per day
- Daily Service Denials ("Bumps") [ Time Frame: After 12 months of running study in clinic ]The investigators will compare the number of patients bumped per day between scheduling approaches
- Advanced Adenoma Detection/Cecal Intubation Rates [ Time Frame: After 20 months of running study in clinic ]The investigators will compare daily advanced adenomatous polyp detection and daily cecal intubation rates between groups.
- Length of Workday [ Time Frame: After 12 months of running study in clinic ]Length of Workday in hours (comparing days with Fast-Tracked Appointments to Control days without)
- Cost Comparisons [ Time Frame: After 12 months of running study in clinic ]For cost comparisons, the investigators will aggregate total provider overtime costs for colonoscopies performed. Cost is reported per day.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01639443
|United States, California|
|VA Greater Los Angeles Healthcare System, West Los Angeles, CA|
|West Los Angeles, California, United States, 90073|
|Principal Investigator:||Paul G. Shekelle, MD PhD MPH||VA Greater Los Angeles Healthcare System, West Los Angeles, CA|