Improving Quality With Outpatient Decision Support
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Assesses physician compliance with paper-based and electronic guidelines, reminders, and alerts for outpatient settings. Target areas for the reminders and alerts are disease management, medication management, and interpretation of abnormal test results.
1) Compliance to guidelines regarding the outpatient laboratory monitoring of prescription medication regiments
2) Compliance to guidelines regarding the follow-up of abnormal test results, including critically abnormal test results, abnormal cholesterol, abnormal HbA1c, abnormal pap smears and abnormal mammogram
3) Compliance to guidelines regarding the management of hypertension in the general ambulatory population and amongst ethnic minority groups
4) Compliance to guidelines regarding the screening and management of osteoporosis
Secondary Outcome Measures
1) Patient satisfaction regarding communication with physicians
2) Physician satisfaction regarding follow-up of abnormal test results
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Ages Eligible for Study:
18 Years and older (Adult, Senior)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
All physicians in on-site and satellite adult outpatient clinics with the Brigham and Women's Hospital and Massachusetts General Hospital.
All practices must have adopted our home-grown electronic health record system, the Longitudinal Medical Record, for at least 24 months prior to the start of each intervention trial.