Back to resultsUsing Electronic Medical Record Data to Improve HIV Primary Care
Primary Purpose
Quality of Health Care, HIV/AIDS, Electronic Health Records
Status
Unknown status
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Audit and Feedback
Sponsored by
About this trial
This is an interventional health services research trial for Quality of Health Care
Eligibility Criteria
Inclusion Criteria:
- Family physicians at the St. Michael's Hospital Academic Family Health Team who have at least 20 PLHA.
Exclusion Criteria:
- None
Sites / Locations
- St. Michael's Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Intervention
Control
Arm Description
Audit and feedback directed at family physicians, including reports a one-on-one meeting.
Usual care; may receive the intervention at the end of the study if successful
Outcomes
Primary Outcome Measures
Up to date viral load
Percentage of HIV infected patients who have an up to date HIV viral load
Secondary Outcome Measures
Clinic visit
To assess engagement in care
Up-to-date cancer screenings
Presence of cancer monitoring for colorectal, breast and cervical cancers
Vaccinations
Up-to-date for both pneumococcal vaccines and seasonal influenza vaccine
Screening for diabetes
For those 40 or older, the presence of either a fasting blood glucose or HbA1c in the chart
Screening for hypercholesterolemia
For those 40 or older. the presence of an LDL or non-HDL in the chart
Screening for osteoporosis
For patients 50 years and older, the presence of a bone mineral density report
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04107233
Brief Title
Using Electronic Medical Record Data to Improve HIV Primary Care
Official Title
Using Electronic Medical Record Data to Improve HIV Primary Care: An Audit and Feedback Study
Study Type
Interventional
2. Study Status
Record Verification Date
September 2019
Overall Recruitment Status
Unknown status
Study Start Date
April 3, 2017 (Actual)
Primary Completion Date
December 2020 (Anticipated)
Study Completion Date
December 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Unity Health Toronto
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief 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.
Detailed 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.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Quality of Health Care, HIV/AIDS, Electronic Health Records
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
13 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Intervention
Arm Type
Experimental
Arm Description
Audit and feedback directed at family physicians, including reports a one-on-one meeting.
Arm Title
Control
Arm Type
No Intervention
Arm Description
Usual care; may receive the intervention at the end of the study if successful
Intervention Type
Behavioral
Intervention Name(s)
Audit and Feedback
Intervention Description
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
Primary Outcome Measure Information:
Title
Up to date viral load
Description
Percentage of HIV infected patients who have an up to date HIV viral load
Time Frame
Within six months
Secondary Outcome Measure Information:
Title
Clinic visit
Description
To assess engagement in care
Time Frame
Within the last 6 months
Title
Up-to-date cancer screenings
Description
Presence of cancer monitoring for colorectal, breast and cervical cancers
Time Frame
1-3 years
Title
Vaccinations
Description
Up-to-date for both pneumococcal vaccines and seasonal influenza vaccine
Time Frame
Since 2013
Title
Screening for diabetes
Description
For those 40 or older, the presence of either a fasting blood glucose or HbA1c in the chart
Time Frame
Within 1 year
Title
Screening for hypercholesterolemia
Description
For those 40 or older. the presence of an LDL or non-HDL in the chart
Time Frame
Within 1 year
Title
Screening for osteoporosis
Description
For patients 50 years and older, the presence of a bone mineral density report
Time Frame
Within 5 years
10. Eligibility
Sex
All
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Family physicians at the St. Michael's Hospital Academic Family Health Team who have at least 20 PLHA.
Exclusion Criteria:
None
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrew Pinto, MSc MD
Organizational Affiliation
Unity Health Toronto
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Michael's Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5B1W8
Country
Canada
12. IPD Sharing Statement
Plan to Share IPD
Undecided
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Using Electronic Medical Record Data to Improve HIV Primary Care
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