Study of Provider Computer Alerts Designed to Improve Delivery of HIV Care
|HIV Infections||Other: Standard (static) Computer Alerts Other: Enhanced Computer Alerts|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Supportive Care
|Official Title:||Optimizing HIV Disease-Specific Provider Alerts: A Randomized Controlled Informatics Trial Comparing Electronic Health Record (EHR) vs. Non-EHR Provider Alerts|
- Change in CD4 count [ Time Frame: Throughout study ]
- Time to repeat laboratory testing [ Time Frame: Throughout study ]
- Time to follow up appointment [ Time Frame: Throughout study ]
|Study Start Date:||September 2007|
|Study Completion Date:||December 2008|
|Primary Completion Date:||December 2008 (Final data collection date for primary outcome measure)|
Active Comparator: Standard (static) Computer Alerts
Participants in this arm will be assigned to standard care. Participants will be monitored for new laboratory toxicity, suboptimal follow up, and virologic failure. Provider computer alerts will be posted on the participant's electronic health record summary page.
Other: Standard (static) Computer Alerts
Static Computer Alerts on Patient's EMR webpage.
Experimental: Enhanced Computer Alerts
Participants in this arm will be assigned to the enhanced alert arm. Participants will be monitored for new laboratory toxicity, suboptimal follow up, and virologic failure. Providers will receive population and asynchronous computer alerts with improved functionality.
Other: Enhanced Computer Alerts
Population level and asynchronous alerts with enhanced functionality
This study will compare the effectiveness of standard and enhanced care alerts in HIV infected participants at Massachusetts General Hospital in Boston, Massachusetts.
Participants will be a part of this study for 4 years or until they are no longer followed at Massachusetts General Hospital. Participants will be assigned randomly to one of two arms. Participants assigned to Arm 1 will receive standard care, involving standard provider alerts which will be posted on the participant's health record. Participants assigned to Arm 2 will receive enhanced care, involving improved functionality. Experimental informatics-based provider alerts and support systems will be used to develop a pilot system designed to optimize delivery of HIV clinical care.
All participants will be monitored for new laboratory toxicities, suboptimal follow up, and virologic failure at their normally scheduled appointments.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00678600
|United States, Massachusetts|
|Massachusetts General Hospital|
|Boston, Massachusetts, United States, 02114|
|Principal Investigator:||Gregory K Robbins, MD MPH||Massachusetts General Hospital|