NCT01105923

Study of an Intervention to Improve Problem List Accuracy and Use

Making Accurate Problem Lists in the EHR

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 140 (estimated)
• Sponsor: Brigham and Women's Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The aim of this study is to identify patients with problem list gaps and intervene to correct these gaps by creating clinical decision support interventions that alert providers to likely problem list gaps and offer clinicians the opportunity to correct them. The investigators will randomize the clinics that will receive the intervention and formally evaluate the study after a period of 6 months for improved problem list completeness to determine the effectiveness of our intervention.

Detailed description

The clinical problem list is a cornerstone of the problem-oriented medical record. Problem lists are used in a variety of ways throughout the process of clinical care. In addition to its use by clinicians, the problem list is also critical for decision support and quality measurement. Patients with gaps in their problem list face significant risks. For example, if a hypothetical patient has diabetes properly documented, his clinician would receive appropriate alerts and reminders to guide care. Additionally, the patient might be included in special care management programs and the quality of care provided to him would be measured and tracked. Without diabetes on his problem list, he might receive none of these benefits. In this study, the investigators developed an clinical decision support intervention that will identify patients with problem lists gaps. The investigators will alert providers of these likely gaps and offer providers the opportunity to correct them.

Conditions

• Attention Deficit Disorder With Hyperactivity
• Asthma
• COPD
• Breast Cancer
• Coronary Artery Disease
• Congestive Heart Failure
• Diabetes
• Glaucoma
• Hemophilia
• Hypertension
• Hyperthyroidism
• Hypothyroidism
• Myasthenia Gravis
• Osteoporosis
• Osteopenia
• Renal Failure
• Renal Insufficiency
• Sickle Cell Disease
• Stroke

Interventions

Type	Name	Description
OTHER	MAPLE	MAPLE is a CDS intervention within the EHR that will alert providers to problem lists gaps and present an opportunity to correct them.

Timeline

• Start date: 2010-05-01
• Primary completion: 2010-11-01
• Completion: 2017-11-01
• First posted: 2010-04-19
• Last updated: 2015-02-02

Locations

1 site across 1 country: United States