Aspiring to Awesome- Patient Preference Privacy Selections in EMR

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Indiana University
ClinicalTrials.gov Identifier:
NCT01862133
First received: May 15, 2013
Last updated: March 20, 2015
Last verified: March 2015
  Purpose

Health information technology, including health information exchange, offers the potential to improve care by providing an integrated view of relevant, integrated patient information from multiple health care providers practicing in multiple sites. However, realizing that potential can be difficult, particularly with respect sensitive information. Increasingly, patients, patient advocate groups, and even the National Coordinator for Health Information Technology are pushing for patients to have more granular control over specifically who can see what personal health information in their electronic health records.

This will be a demonstration project aimed at showing the initial feasibility a system allowing patient controls on their electronic health records. Because of the exploratory nature of the research, the investigators do not have specific hypotheses. The investigators hope that this demonstration and feasibility project will lead to more extensive prospective evaluations of patient control of access to their health records and other tools for enhancing patient control over access to their health records.


Condition Intervention
Primary Health Care
Other: Patient preferences

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Aspiring to Awesome- Patient Preference Privacy Selections in EMR

Further study details as provided by Indiana University:

Primary Outcome Measures:
  • Number of Patients Recording Preferences to Restrict Provider Access to Some or All EHR Data [ Time Frame: 6 month study ] [ Designated as safety issue: No ]
    Patients had to restrict access to either all data or one of five categories of "sensitive" data (sexually transmitted infections, HIV/AIDS, sexual health and pregnancy, drug and alcohol use and abuse, and mental health information) to one or more of the study providers.

  • Providers' Opinion of Patients' Controlling EHR Access [ Time Frame: 6 month study ] [ Designated as safety issue: No ]
    Percent of providers answering "Strongly Agree" or "Agree" to the following question on the post-study survey: "I think it is OK for patients to have control over who sees what information in their electronic health records."


Enrollment: 136
Study Start Date: August 2013
Study Completion Date: March 2014
Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Patient Preferences
Patients were eligible if they had visited their primary care physician at least twice in the previous 1 year and were fluent in English. Each patient subject used an online program to record their preferences what each of their providers can see. The electronic medical record (EMR) will then apply them to data displays.
Primary Care Providers
All healthcare providers (physicians, nurses, and other clinic staff) were eligible to participate in this study. For those enrolled, display of patient data in the EMR was dictated by the patient subject's preferences for who should see what data.
Other: Patient preferences
Software for recording patients' preferences for which providers see which parts of their EMRs, and EMR software for restricting access to data based on patients' preferences.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Primary Care Clinic

Criteria

Inclusion Criteria:

For Patients:

  • all adults 18 years or older who were fluent in English and had visited the study primary care clinic at least twice in the previous year

For Providers:

  • all personnel of all types practicing in General Medicine Clinic, both Firms A and B, on the 4th floor of Wishard's Primary Care Center. For those physicians who agree to participate, attempted to recruit 10 patients who had visited their primary care physician at least twice in the previous 1 year.

Exclusion Criteria:

  • will be lack of English fluency and inability to communicate due to physiologic or cognitive difficulties.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01862133

Locations
United States, Indiana
Wishard Health Services, Primary Care Center
Indianapolis, Indiana, United States, 46202
Sponsors and Collaborators
Indiana University
Investigators
Principal Investigator: William Tierney, MD Indiana University
  More Information

Publications:
Responsible Party: Indiana University
ClinicalTrials.gov Identifier: NCT01862133     History of Changes
Other Study ID Numbers: CFDA# 93.719
Study First Received: May 15, 2013
Results First Received: March 12, 2015
Last Updated: March 20, 2015
Health Authority: United States: Institutional Review Board

Keywords provided by Indiana University:
Electronic Health Record
Health Information Technology
Patient Privacy
Personal Health Information

ClinicalTrials.gov processed this record on April 16, 2015