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| Name | Class |
|---|---|
| ViiV Healthcare | INDUSTRY |
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The objective of the Charlotte Retention in Care study is to assess if clinical decision support systems (CDSS) that produce standardized alerts for measures of retention in care across clinics in the city of Charlotte, North Carolina have the ability to increase retention in care measures within clinics and in surveillance reports.
Multiple Charlotte HIV Clinic providers are participating. "Primary" HIV provider will be defined as the primary physician or advanced care practitioner following a patient, as recorded in their respective Electronic Health Record (EHR) system and identified through CHORUS, a Clinical Decision Support System (CDSS) developed by Epividian. The CDSS will track patient case status as active or inactive (loss to follow-up, transferred medical care, or deceased). Providers will be informed of the study and sites will be contracted to participate in this collaborative research study. This study was approved by the Advarra Institutional Review Board.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HIV-1 | HIV-1+, males, females, transgender, ≥18 years of age, residing in the Charlotte Metropolitan Area and with at least a single entry in the EHR in the last 2 years. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alert to provider | Other | Providers receive alerts of sub-optimal patient attendance using 4 rules. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Engagement level | Pre and post-baseline engagement level. Engagement level is defined as patients with 0, 1, or 2+ visits to physician (identified as a visit that included the collection of 1 viral load and/or 1 CD4 count lab test). | 12 months, 01-Nov-2018 to 31-Oct-2019 |
| Measure | Description | Time Frame |
|---|---|---|
| Kept appointment | Pre and post-baseline "kept appointment rate", the proportion of patients who attended their scheduled office visits. | 12 months, 01-Nov-2018 to 31-Oct-2019 |
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Inclusion Criteria:
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HIV-1+, males, females, transgender, ≥18 years of age, residing in the Charlotte Metropolitan Area and with at least a single entry in the EHR in the last 2 years.
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| Name | Affiliation | Role |
|---|---|---|
| Michael Leonard, MD | Atrium Health (Carolinas HealthCare System) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Atrium Health | Charlotte | North Carolina | 28209 | United States | ||
| Amity Group Foundation |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11320064 | Background | Bakken S. An informatics infrastructure is essential for evidence-based practice. J Am Med Inform Assoc. 2001 May-Jun;8(3):199-201. doi: 10.1136/jamia.2001.0080199. | |
| 12815139 | Background | Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003 Jun 19;348(25):2526-34. doi: 10.1056/NEJMsa020847. No abstract available. |
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No Protected Health Information (PHI) is shared outside of clinic. De-identified data available only to authorized researchers via Epividian Clinical Advisory Board approval.
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| Charlotte |
| North Carolina |
| 28215 |
| United States |
| Ballantyne Family Medicine | Charlotte | North Carolina | 28215 | United States |
| Rosedale Medical | Huntersville | North Carolina | 28078 | United States |
| 14734942 | Background | Bakken S, Cimino JJ, Hripcsak G. Promoting patient safety and enabling evidence-based practice through informatics. Med Care. 2004 Feb;42(2 Suppl):II49-56. doi: 10.1097/01.mlr.0000109125.00113.f4. |
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| 16423119 | Background | Lester WT, Grant RW, Barnett GO, Chueh HC. Randomized controlled trial of an informatics-based intervention to increase statin prescription for secondary prevention of coronary disease. J Gen Intern Med. 2006 Jan;21(1):22-9. doi: 10.1111/j.1525-1497.2005.00268.x. |
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