EHR-based Patient Identification and Panel Management of Patients With Iron Deficiency Anemia
1 other identifier
interventional
16
1 country
2
Brief Summary
The objective is to determine if a set of clinical supports that includes computer-assisted identification, an EHR registry, facilitated GI referral, and an EHR tool for documentation improves the timely referral and completion of bidirectional endoscopy in men aged 18 years and older and women aged 40 years and older with iron deficiency anemia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Feb 2022
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 28, 2022
CompletedFirst Submitted
Initial submission to the registry
April 14, 2022
CompletedFirst Posted
Study publicly available on registry
May 9, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 28, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 11, 2023
CompletedFebruary 8, 2023
February 1, 2023
4 months
April 14, 2022
February 6, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Bidirectional endoscopy completed
Completion of upper and lower endoscopy, assessed using automated queries of the Northwestern Medicine Enterprise Data Warehouse occurring within the three years prior to the study start date and the 120 days following the study start date. Specificially, presence of one or more terms for a completed procedure from the code set for Espohagoduodenoscopy/Upper Endoscopy and one or more terms from the code set for Colonoscopy within the indicated time frame constitutes completion of the measure. Note:the investigators use a three-year look back because eligible patients may have completed either upper or lower endoscopy previously and only require one form of endoscopy during the study period.
120 days
Secondary Outcomes (3)
Endoscopy completed or scheduled
120 days
Gastroenterology consultation completed
120 days
GI referral provided or completed
120 days
Study Arms (2)
Intervention: Quality Improvement tools
EXPERIMENTALQuality improvement tools including: computer-assisted identification of iron deficiency anemia patients with an EHR registry, facilitated GI referral, an EHR tool for documentation, and physician education.
Control: usual care
NO INTERVENTIONPhysicians will be notified at the start of the study that 120 days after the study start they will receive access to the quality improvement tools available to the intervention group.
Interventions
Quality improvement tools for iron deficiency anemia that include computer-assisted identification, an EHR registry, facilitated GI referral, an EHR tool for documentation, and physician education
Eligibility Criteria
You may qualify if:
- Northwestern Medical Group primary care physician (internal medicine, family medicine or geriatrics)
You may not qualify if:
- No primary care office practice within Northwestern Medical Group
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Northwestern University, Division of General Internal Medicine
Chicago, Illinois, 60611, United States
Stephen D Persell
Chicago, Illinois, 60611, United States
Related Publications (1)
Priyanath Gupta A, Patel D, Lee JY, Volpentesta M, Schachter M, Persell SD. Health information technology tools to accelerate gastrointestinal evaluation in patients with iron deficiency anaemia: a cluster randomised controlled trial. BMJ Open Qual. 2024 Apr 15;13(2):e002565. doi: 10.1136/bmjoq-2023-002565.
PMID: 38626940DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Medicine
Study Record Dates
First Submitted
April 14, 2022
First Posted
May 9, 2022
Study Start
February 28, 2022
Primary Completion
June 28, 2022
Study Completion
January 11, 2023
Last Updated
February 8, 2023
Record last verified: 2023-02
Data Sharing
- IPD Sharing
- Will not share
No data sharing plan.