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Use of an Electronic Medical Record in the Primary Care Setting to Improve Herpes Zoster Vaccination Rates

Primary Purpose

Herpes Zoster Disease

Status

Completed

Phase

Not Applicable

Locations

United States

Study Type

Interventional

Intervention

An informational packet regarding shingles and the HZV was sent to patients identified by the EMR

About this trial

This is an interventional health services research trial for Herpes Zoster Disease focused on measuring Herpes Zoster vaccine, Electronic patient portal, Electronic medical record, Primary care, Immunizations

Eligibility Criteria

60 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Greater than 60 years of age

Exclusion Criteria:

Documented herpes zoster vaccine in the EMR

Sites / Locations

The Ohio State University Martha Morehouse General Internal Medicine Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

An informational packet regarding shingles and the HZV

Standard medical care from their primary care physician

Arm Description

Outcomes

Primary Outcome Measures

Number of Participants Who Received the Herpes Zoster Vaccine

Six months after the intervention, a second EMR report was generated to determine the change in vaccination rate of both the intervention and control groups.

Secondary Outcome Measures

Difference in Vaccination Rates Between Patients Who Recieved a Mailed Letter Versus a Secure Email

Difference in vaccination rates between patients sent communications via US postal service (USPS) and those sent communications via electronic patient portal (EPP)

Amount of Time Required by a Clinical Pharmacist to Manage This Workflow

Full Information

NCT ID

NCT01519570

First Posted

January 12, 2012

Last Updated

August 27, 2018

Sponsor

Ohio State University

1. Study Identification

Unique Protocol Identification Number

NCT01519570

Brief Title

Use of an Electronic Medical Record in the Primary Care Setting to Improve Herpes Zoster Vaccination Rates

Official Title

Use of an Electronic Medical Record to Improve Standard Practice in the Primary Care Setting: A Randomized-Controlled Study of Herpes Zoster Vaccination Rates

Study Type

Interventional

2. Study Status

Record Verification Date

August 2018

Overall Recruitment Status

Completed

Study Start Date

March 2011 (undefined)

Primary Completion Date

December 2011 (Actual)

Study Completion Date

December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Ohio State University

4. Oversight

Data Monitoring Committee

5. Study Description

Brief Summary

Despite the significant benefits of herpes zoster vaccine (HZV), vaccination rates remain low. Electronic medical records (EMR) can serve as a practical strategy to better facilitate the application of preventative health care, such as increasing immunization rates. A new care model that can increase the herpes zoster vaccination rate, as well as other preventative health services, is warranted. The objective of this study is to investigate if the functions of an EMR, in combination with a pharmacist as part of the care team, can improve the herpes zoster vaccination rate.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Herpes Zoster Disease

Keywords

Herpes Zoster vaccine, Electronic patient portal, Electronic medical record, Primary care, Immunizations

7. Study Design

Primary Purpose

Health Services Research

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

None (Open Label)

Allocation

Randomized

Enrollment

2589 (Actual)

8. Arms, Groups, and Interventions

Arm Title

An informational packet regarding shingles and the HZV

Arm Type

Experimental

Arm Title

Standard medical care from their primary care physician

Arm Type

No Intervention

Intervention Type

Other

Intervention Name(s)

An informational packet regarding shingles and the HZV was sent to patients identified by the EMR

Intervention Description

The EMR generated a list of patients aged 60 or older without HZV documentation. Patients were categorized into two subgroups based on activated electronic patient portal (EPP) status. Randomized patients from each subgroup received an informational packet regarding shingles and the HZV by either the EMR or USPS mail, depending on EPP status. A pharmacist reviewed the medical chart of interested patients to assess if the HZV was clinically indicated; eligible patients were mailed a HZV prescription.

Primary Outcome Measure Information:

Title

Number of Participants Who Received the Herpes Zoster Vaccine

Description

Six months after the intervention, a second EMR report was generated to determine the change in vaccination rate of both the intervention and control groups.

Time Frame

6 months

Secondary Outcome Measure Information:

Title

Difference in Vaccination Rates Between Patients Who Recieved a Mailed Letter Versus a Secure Email

Description

Difference in vaccination rates between patients sent communications via US postal service (USPS) and those sent communications via electronic patient portal (EPP)

Time Frame

6 months

Title

Amount of Time Required by a Clinical Pharmacist to Manage This Workflow

Time Frame

6 months

10. Eligibility

Sex

All

Minimum Age & Unit of Time

60 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Greater than 60 years of age Exclusion Criteria: Documented herpes zoster vaccine in the EMR

Overall Study Officials: