Diabete Mellitus Clinical Trial
Official title:
An Observational Pilot Study to Develop a Behavioral Economics Electronic Health Record Module to Guide the Care of Older Adults With Diabetes
This study will develop a new electronic health record module to improve guideline-compliant
care of older adults with diabetes. The module will incorporate effective behavioral
economics (BE) principles to improve the degree to which care of older adults is compliant
with Choosing Wisely guidelines; this generally involves less aggressive targets for HbA1c,
and reductions of medications other than metformin.
The implementation of the module will ultimately be triggered by medication prescribing in
EPIC. The BE principles include suggesting alternatives to medications, requiring
justification, setting of appropriate default order sets, and incorporation of anchoring and
checklists to guide behavior. The study will involve provider workflow analysis based on
observation, module user testing, and live usability testing with direct observation and
semi-structure interviews.
The primary objective of this study is to develop a scalable, EHR customization toolkit that applies BE insights to promote appropriate diabetes care in older adults based on the American Geriatric Society's Choosing Wisely Guideline, as to assess the acceptability of the resulting module. ;
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