Charlotte Retention in Care Study

HIV I Infection Clinical Trial

Official title:

Charlotte Retention in Care Study - Clinical Decision Support System Prompts

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03584048
• Other study ID #: HO-18-19095
• Status: Completed
• Start date: July 1, 2018
• Est. completion date: October 31, 2019

Study information

• Verified date: October 2019
• Source: Epividian
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

The objective of the Charlotte Retention in Care study is to assess if clinical decision support systems (CDSS) that produce standardized alerts for measures of retention in care across clinics in the city of Charlotte, North Carolina have the ability to increase retention in care measures within clinics and in surveillance reports.

Description:

Multiple Charlotte HIV Clinic providers are participating. "Primary" HIV provider will be defined as the primary physician or advanced care practitioner following a patient, as recorded in their respective Electronic Health Record (EHR) system and identified through CHORUS, a Clinical Decision Support System (CDSS) developed by Epividian. The CDSS will track patient case status as active or inactive (loss to follow-up, transferred medical care, or deceased). Providers will be informed of the study and sites will be contracted to participate in this collaborative research study. This study was approved by the Advarra Institutional Review Board.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 6500
• Est. completion date: October 31, 2019
• Est. primary completion date: October 31, 2019
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• HIV-1+

• Any gender

• 18 years old or older

• Residing in the Charlotte, North Carolina metropolitan area

• At least a single entry in the EHR in the last 2 years

Related Conditions & MeSH terms

• HIV I Infection

Intervention

Other:
• Alert to provider
Providers receive alerts of sub-optimal patient attendance using 4 rules.

Locations

Country	Name	City	State
United States	Amity Group Foundation	Charlotte	North Carolina
United States	Atrium Health	Charlotte	North Carolina
United States	Ballantyne Family Medicine	Charlotte	North Carolina
United States	Rosedale Medical	Huntersville	North Carolina

Sponsors (2)

Lead Sponsor	Collaborator
Epividian	ViiV Healthcare

Country where clinical trial is conducted

United States, 

References & Publications (23)

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Grant RW, Wald JS, Poon EG, Schnipper JL, Gandhi TK, Volk LA, Middleton B. Design and implementation of a web-based patient portal linked to an ambulatory care electronic health record: patient gateway for diabetes collaborative care. Diabetes Technol Ther. 2006 Oct;8(5):576-86. — View Citation

Hsieh TC, Kuperman GJ, Jaggi T, Hojnowski-Diaz P, Fiskio J, Williams DH, Bates DW, Gandhi TK. Characteristics and consequences of drug allergy alert overrides in a computerized physician order entry system. J Am Med Inform Assoc. 2004 Nov-Dec;11(6):482-91. Epub 2004 Aug 6. — View Citation

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Lester WT, Ashburner JM, Grant RW, Chueh HC, Barry MJ, Atlas SJ. Mammography FastTrack: an intervention to facilitate reminders for breast cancer screening across a heterogeneous multi-clinic primary care network. J Am Med Inform Assoc. 2009 Mar-Apr;16(2):187-95. doi: 10.1197/jamia.M2813. Epub 2008 Dec 11. — View Citation

Lester WT, Grant R, Barnett GO, Chueh H. Facilitated lipid management using interactive e-mail: preliminary results of a randomized controlled trial. Stud Health Technol Inform. 2004;107(Pt 1):232-6. — View Citation

Lester WT, Grant RW, Barnett GO, Chueh HC. Randomized controlled trial of an informatics-based intervention to increase statin prescription for secondary prevention of coronary disease. J Gen Intern Med. 2006 Jan;21(1):22-9. — View Citation

McGowan JJ, Cusack CM, Poon EG. Formative evaluation: a critical component in EHR implementation. J Am Med Inform Assoc. 2008 May-Jun;15(3):297-301. doi: 10.1197/jamia.M2584. Epub 2008 Feb 28. — View Citation

Middleton B, Hammond WE, Brennan PF, Cooper GF. Accelerating U.S. EHR adoption: how to get there from here. recommendations based on the 2004 ACMI retreat. J Am Med Inform Assoc. 2005 Jan-Feb;12(1):13-9. Epub 2004 Oct 18. — View Citation

Patel V, Abramson EL, Edwards A, Malhotra S, Kaushal R. Physicians' potential use and preferences related to health information exchange. Int J Med Inform. 2011 Mar;80(3):171-80. doi: 10.1016/j.ijmedinf.2010.11.008. Epub 2010 Dec 14. — View Citation

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* Note: There are 23 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Engagement level	Pre and post-baseline engagement level. Engagement level is defined as patients with 0, 1, or 2+ visits to physician (identified as a visit that included the collection of 1 viral load and/or 1 CD4 count lab test).	12 months, 01-Nov-2018 to 31-Oct-2019
Secondary	Kept appointment	Pre and post-baseline "kept appointment rate", the proportion of patients who attended their scheduled office visits.	12 months, 01-Nov-2018 to 31-Oct-2019