NCT03584048

Brief Summary

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
6,500

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jul 2018

Geographic Reach
1 country

4 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 17, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

July 1, 2018

Completed
11 days until next milestone

First Posted

Study publicly available on registry

July 12, 2018

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2019

Completed
Last Updated

November 4, 2021

Status Verified

October 1, 2019

Enrollment Period

1.3 years

First QC Date

May 17, 2018

Last Update Submit

October 27, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • 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

Secondary Outcomes (1)

  • Kept appointment

    12 months, 01-Nov-2018 to 31-Oct-2019

Study Arms (1)

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.

Other: Alert to provider

Interventions

Providers receive alerts of sub-optimal patient attendance using 4 rules.

HIV-1

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

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.

You may qualify if:

  • HIV-1+
  • Any gender
  • years old or older
  • Residing in the Charlotte, North Carolina metropolitan area
  • At least a single entry in the EHR in the last 2 years

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Atrium Health

Charlotte, North Carolina, 28209, United States

Location

Amity Group Foundation

Charlotte, North Carolina, 28215, United States

Location

Ballantyne Family Medicine

Charlotte, North Carolina, 28215, United States

Location

Rosedale Medical

Huntersville, North Carolina, 28078, United States

Location

Related Publications (23)

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    PMID: 18693858BACKGROUND
  • Schulman J, Kuperman GJ, Kharbanda A, Kaushal R. Discovering how to think about a hospital patient information system by struggling to evaluate it: a committee's journal. J Am Med Inform Assoc. 2007 Sep-Oct;14(5):537-41. doi: 10.1197/jamia.M2436. Epub 2007 Jun 28.

    PMID: 17600095BACKGROUND
  • Patel V, Abramson EL, Edwards A, Malhotra S, Kaushal R. Physicians' potential use and preferences related to health information exchange. Int J Med Inform. 2011 Mar;80(3):171-80. doi: 10.1016/j.ijmedinf.2010.11.008. Epub 2010 Dec 14.

    PMID: 21156351BACKGROUND
  • Middleton B, Hammond WE, Brennan PF, Cooper GF. Accelerating U.S. EHR adoption: how to get there from here. recommendations based on the 2004 ACMI retreat. J Am Med Inform Assoc. 2005 Jan-Feb;12(1):13-9. doi: 10.1197/jamia.M1669. Epub 2004 Oct 18.

    PMID: 15492028BACKGROUND
  • Garg AX, Adhikari NK, McDonald H, Rosas-Arellano MP, Devereaux PJ, Beyene J, Sam J, Haynes RB. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 2005 Mar 9;293(10):1223-38. doi: 10.1001/jama.293.10.1223.

    PMID: 15755945BACKGROUND
  • Poon EG, Wald J, Bates DW, Middleton B, Kuperman GJ, Gandhi TK. Supporting patient care beyond the clinical encounter: three informatics innovations from partners health care. AMIA Annu Symp Proc. 2003;2003:1072.

    PMID: 14728575BACKGROUND
  • Bakken S, Roberts WD, Chen E, Dilone J, Lee NJ, Mendonca E, Markatou M. PDA-based informatics strategies for tobacco use screening and smoking cessation management: a case study. Stud Health Technol Inform. 2007;129(Pt 2):1447-51.

    PMID: 17911954BACKGROUND
  • Bindoff IK, Tenni PC, Peterson GM, Kang BH, Jackson SL. Development of an intelligent decision support system for medication review. J Clin Pharm Ther. 2007 Feb;32(1):81-8. doi: 10.1111/j.1365-2710.2007.00801.x.

    PMID: 17286791BACKGROUND
  • Dickey J, Girard DE, Geheb MA, Cassel CK. Using systems-based practice to integrate education and clinical services. Med Teach. 2004 Aug;26(5):428-34. doi: 10.1080/01421590410001730967.

    PMID: 15369883BACKGROUND
  • Grant RW, Wald JS, Poon EG, Schnipper JL, Gandhi TK, Volk LA, Middleton B. Design and implementation of a web-based patient portal linked to an ambulatory care electronic health record: patient gateway for diabetes collaborative care. Diabetes Technol Ther. 2006 Oct;8(5):576-86. doi: 10.1089/dia.2006.8.576.

    PMID: 17037972BACKGROUND
  • Hsieh TC, Kuperman GJ, Jaggi T, Hojnowski-Diaz P, Fiskio J, Williams DH, Bates DW, Gandhi TK. Characteristics and consequences of drug allergy alert overrides in a computerized physician order entry system. J Am Med Inform Assoc. 2004 Nov-Dec;11(6):482-91. doi: 10.1197/jamia.M1556. Epub 2004 Aug 6.

    PMID: 15298998BACKGROUND
  • Lester WT, Ashburner JM, Grant RW, Chueh HC, Barry MJ, Atlas SJ. Mammography FastTrack: an intervention to facilitate reminders for breast cancer screening across a heterogeneous multi-clinic primary care network. J Am Med Inform Assoc. 2009 Mar-Apr;16(2):187-95. doi: 10.1197/jamia.M2813. Epub 2008 Dec 11.

    PMID: 19074304BACKGROUND
  • Lester WT, Grant R, Barnett GO, Chueh H. Facilitated lipid management using interactive e-mail: preliminary results of a randomized controlled trial. Stud Health Technol Inform. 2004;107(Pt 1):232-6.

    PMID: 15360809BACKGROUND
  • 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.

    PMID: 16423119BACKGROUND
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    PMID: 19070335BACKGROUND
  • Crosson FJ. The delivery system matters. Health Aff (Millwood). 2005 Nov-Dec;24(6):1543-8. doi: 10.1377/hlthaff.24.6.1543.

    PMID: 16284026BACKGROUND
  • Doebbeling BN, Chou AF, Tierney WM. Priorities and strategies for the implementation of integrated informatics and communications technology to improve evidence-based practice. J Gen Intern Med. 2006 Feb;21 Suppl 2(Suppl 2):S50-7. doi: 10.1111/j.1525-1497.2006.00363.x.

    PMID: 16637961BACKGROUND
  • McGowan JJ, Cusack CM, Poon EG. Formative evaluation: a critical component in EHR implementation. J Am Med Inform Assoc. 2008 May-Jun;15(3):297-301. doi: 10.1197/jamia.M2584. Epub 2008 Feb 28.

    PMID: 18308984BACKGROUND
  • Rind DM, Safran C, Phillips RS, Wang Q, Calkins DR, Delbanco TL, Bleich HL, Slack WV. Effect of computer-based alerts on the treatment and outcomes of hospitalized patients. Arch Intern Med. 1994 Jul 11;154(13):1511-7.

    PMID: 8018007BACKGROUND
  • Ruland CM, Bakken S. Developing, implementing, and evaluating decision support systems for shared decision making in patient care: a conceptual model and case illustration. J Biomed Inform. 2002 Oct-Dec;35(5-6):313-21. doi: 10.1016/s1532-0464(03)00037-6.

    PMID: 12968780BACKGROUND

Study Officials

  • Michael Leonard, MD

    Atrium Health (Carolinas HealthCare System)

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
17 Months
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 17, 2018

First Posted

July 12, 2018

Study Start

July 1, 2018

Primary Completion

October 31, 2019

Study Completion

October 31, 2019

Last Updated

November 4, 2021

Record last verified: 2019-10

Data Sharing

IPD Sharing
Will not share

No Protected Health Information (PHI) is shared outside of clinic. De-identified data available only to authorized researchers via Epividian Clinical Advisory Board approval.

Locations