Using Electronic Medical Record Data to Improve HIV Primary Care

HIV/AIDS Clinical Trial

Official title:

Using Electronic Medical Record Data to Improve HIV Primary Care: An Audit and Feedback Study

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT04107233
• Other study ID #: SMH-16-381
• Status: Active, not recruiting
• Phase: N/A
• Start date: April 3, 2017
• Est. completion date: December 2020

Study information

• Verified date: September 2019
• Source: St. Michael's Hospital, Toronto
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This cluster randomized control trial examines whether an audit and feedback study improves care of patients living with HIV/AIDS in a family health team setting.

Description:

This cluster randomized control trial will use electronic medical record (EMR) data from the St. Michael's Hospital Academic Family Health Team to examine whether the quality of HIV care provided to patients can be improved through an audit and feedback (A&F) intervention. Our objective is to examine whether A&F targeting family physicians caring for people living with HIV/AIDS (PHLA) using EMR data can improve laboratory monitoring, engagement in primary care and the uptake of preventive interventions.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 13
• Est. completion date: December 2020
• Est. primary completion date: December 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Family physicians at the St. Michael's Hospital Academic Family Health Team who have at least 20 PLHA.

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Electronic Health Records
• HIV/AIDS
• Quality of Health Care

Intervention

Behavioral:
• Audit and Feedback
Charts for enrolled physicians will be audited and they will receive feedback, consisting of tailored reports and one-on-one meeting with colleague to review at baseline, 3 months and 6 months

Locations

Country	Name	City	State
Canada	St. Michael's Hospital	Toronto	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
St. Michael's Hospital, Toronto

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Up to date viral load	Percentage of HIV infected patients who have an up to date HIV viral load	Within six months
Secondary	Clinic visit	To assess engagement in care	Within the last 6 months
Secondary	Up-to-date cancer screenings	Presence of cancer monitoring for colorectal, breast and cervical cancers	1-3 years
Secondary	Vaccinations	Up-to-date for both pneumococcal vaccines and seasonal influenza vaccine	Since 2013
Secondary	Screening for diabetes	For those 40 or older, the presence of either a fasting blood glucose or HbA1c in the chart	Within 1 year
Secondary	Screening for hypercholesterolemia	For those 40 or older. the presence of an LDL or non-HDL in the chart	Within 1 year
Secondary	Screening for osteoporosis	For patients 50 years and older, the presence of a bone mineral density report	Within 5 years