Clinical Decision Support for Opioid Use Disorders in Medical Settings: Pilot Usability Testing in an EMR
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Opioid-use Disorder
- Sponsor
- HealthPartners Institute
- Enrollment
- 55
- Locations
- 1
- Primary Endpoint
- Intervention PCP Confidence in Assessing and Treating OUD
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The primary objective of this pilot study is to program an opioid use disorder (OUD) clinical decision support (CDS) tool for use in an electronic medical record (EMR) and obtain high primary care physician (PCP) usability and acceptability. The OUD-CDS is based on the NIDA-Blending Initiative white paper, "Clinical Decision Support for Opioid Use Disorders: Working Group Report," which itself is based on national evidence-based guidelines (American Society of Addiction Medicine (ASAM 2015), VA (VA 2015). As such, this pilot study aims to help PCPs achieve accepted standards of care in OUD treatment. The secondary objectives of this pilot study are to evaluate the usefulness of the tool by comparing OUD case-finding, medication-assisted therapy (MAT) and referral patterns pre- and post-CDS deployment for PCPs with and without CDS access.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Be an MD, Doctor of Osteopathy, Nurse Practitioner or Physician's Assistant engaged in independent primary care of adults at HealthPartners or Park Nicollet
- •Have at least schedule 3 DEA prescribing privileges
- •Voluntarily provide written informed consent to participate in this study
Exclusion Criteria
- •Less than half-time clinical primary care responsibilities
Outcomes
Primary Outcomes
Intervention PCP Confidence in Assessing and Treating OUD
Time Frame: This outcome measure was calculated at approximately month 10 of the pilot study
# of intervention PCPs who report feeling "moderately" or "very" confident in assessing and treating OUD.
Intervention PCP Likeliness to Recommend Use of the OUD-CDS
Time Frame: This was calculated after PCP surveys were completed, approximately month 10
# of PCPs with CDS access who rate the OUD-CDS \>4 on a 5-point Likert scale of likeliness to recommend use of the tool to their colleagues. The scale ranges from 1-"not at all likely" to 5-"very likely," with higher values representing a higher likelihood of recommending the OUD-CDS to other colleagues.
Secondary Outcomes
- Compare Pre- and Post-intervention Rates of OUD Diagnosis in High-risk Patients.(This was calculated at the end of the pilot study (month 8).)
- Compare Pre- and Post-intervention Rates of Medication-assisted Therapy (MAT) Use.(This was calculated at the end of the pilot study (month 8).)
- Compare Post-intervention Referral Patterns Between Intervention and Control Groups(This was calculated at the end of the pilot study (month 8).)