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We are piloting a new technology (Abridge) that uses artificial intelligence to listen to clinician-patient office visits and then document the interaction in the electronic health record.
This study will evaluate pilot implementation of the Abridge Artificial Intelligence (AI) Platform (Abridge) in UCHealth clinics. Abridge licenses will be deployed to 116 physician and advanced practice clinicians to accomplish the following goals:
We will evaluate clinician experiences using Abridge, particularly with regard to documentation time and clinician burnout or stress. Study findings will explore value added in integrating Abridge into clinician practice, and guide decision-making for entering into a commercial agreement with Abridge. This pilot will also inform best practices for scaling Abridge to a broader user base across UCHealth outpatient practices.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Assigned Abridge license | Experimental | Providers assigned a license |
|
| Control | No Intervention | Providers not assigned a license or waitlisted |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ambient AI for clinician documentation | Other | Ambient AI for clinician documentation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Burnout - High emotional exhaustion | Validated measure collected by survey. Reference: https://pmc.ncbi.nlm.nih.gov/articles/PMC3475833/ | Baseline, 2, 4 and 8 months |
| Burnout - High depersonalization | Validated measure collected by survey. Reference: https://pmc.ncbi.nlm.nih.gov/articles/PMC3475833/ | Baseline, 2, 4 and 8 months |
| Burnout - emotional exhaustion and depersonalization | Validated measure collected by survey. Reference: https://pmc.ncbi.nlm.nih.gov/articles/PMC3475833/ | Baseline, 2, 4 and 8 months |
| Time in notes per appointment | Collected via EHR signal data | Baseline, 2, 4 and 8 months |
| Adoption | Percent of eligible visits in which intervention is used. Collected via EHR data | 2, 4 and 8 months |
| Measure | Description | Time Frame |
|---|---|---|
| Reach | Proportion and representativeness of eligible patients and visits intervention was used for | 2, 4 and 8 months |
| Clinician experience | Likelihood to recommend via validated NPS, qualitative drivers of experience, likelihood to change jobs, Weiners feasiblity/implementability/acceptability, system usability scale |
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Inclusion Criteria:
-clinician (physician, advance practice professional, or licensed mental health professional) employed by UCHealth
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCHealth | Aurora | Colorado | 80045 | United States |
Unsure if the third party owner of Abridge will allow sharing
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Randomized controlled trial with waitlist
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| Baseline, 2, 4 and 8 months |
| Time documenting | Time spent documenting beyond appointment, average time in the EHR, time of last log out of the day, pajama time documenting | Baseline, 2, 4 and 8 months |
| Operational efficiency | Same day note closure, average note star rating, average note turn around time | Baseline, 2, 4 and 8 months |
| Adoption | Abandonment rate and representativeness | 2, 4 and 8 months |