Asthma Clinical Trial
Official title:
EHR Decision Support to Improve Outpatient Asthma Care
To determine whether an innovative clinical decision support system embedded in an existing
electronic health record (EHR) will improve provider adherence to the existing National
Asthma Education and Prevention Program (NAEPP) guidelines.
12 primary care pediatric practices at The Children's Hospital of Philadelphia(both urban
and suburban sites) will be randomized to receive either a passive EHR (control sites) or an
interactive decision support system (intervention sites).
After receiving a standardized education module based on NAEPP guidelines, 12 primary care
pediatric practices (both urban and suburban sites) will be randomized to receive either a
passive EHR (control sites) or an interactive decision support system (intervention sites).
The primary outcome of interest will be the proportion of patients on appropriate asthma
controller medication compared over time. Secondary outcomes include the proportion of
asthma patients with: 1) an updated asthma action plan 2) documentation of spirometry
performed (6 to 17 yrs) and 3) an updated problem list reflecting current asthma severity.
After hours calls to providers and types of office visits related to asthma will be tracked.
4) In addition, measurement of asthma-related quality of life and missed school and work in
a sample of 200 subjects from each group will be performed. Contextual factors at the clinic
and patient level will be examined to assess their association with outcomes of interest.
If shown to be successful, this type of clinical decision support, embedded within the EHR,
has the potential to be a powerful tool to improve the implementation of asthma guidelines
and clinical practice guidelines for other conditions and illnesses in the primary setting.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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