Evaluating an Algorithm-Based Implementation Strategy to Improve HIV Care Outcomes

Part of paid clinical trials in New York, New York.

Sponsor
Hunter College of City University of New York
Study ID
NCT07279376
Status
Enrolling By Invitation

Conditions

  • HIV (Human Immunodeficiency Virus)

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • predictive emergency room alerts (pERA) — OTHER
    pERA is a machine-learning algorithm-driven implementation strategy that identifies patients at higher risk of emergency room visits and alerts the care manager to follow-up with them.
  • Standard of care — OTHER
    Care managers interact with patients according to their standard of care protocols

Study Details

This study tests a strategy for helping Care Management Agencies prioritize patients with HIV (PWH) for outreach and support. Under the new strategy, care managers are given a list of highest-priority patients who have been identified by a computer algorithm as being at high risk of going to the emergency room in the next two weeks. This strategy is compared to traditional (standard of care) care management, in which care managers reach out to patients based on a set schedule and their clinical judgement (but not based on a computerized report). We are looking at whether the use of the computer report helps care managers reach the right patients at the right time, preventing them from having to go to the emergency room.

Key Dates

Start date
Nov 18, 2025
Status verified
Jan 2026
Primary completion
Feb 28, 2029
Completion
Aug 31, 2029

Study Design

Enrollment
2,600 participants (estimated)
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT

Arms

  • Active Comparator: Predictive Emergency Room Alerts (perA)Implementation Strategy
    Refers to patients within Care Management Agencies that have been randomized to use the pERA implementation strategy to delivery CCM/CC during that study period.
  • Other: Standard of Care Implementation Strategy
    Refers to patients in Care Management Agencies that have been randomized to use their standard of care implementation strategy to deliver CCM/CC during that study period.

Primary Outcome Measure

ER visits [ Time Frame: Each 18 month cluster period (36 months total) ]

Locations (1)

FacilityCityStateZIPSite coordinators
Community Care Management Partners Health HomeNew YorkNew York10016-

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