Provider Alerts to Reduce Unnecessary Care
- Conditions
- Physician's Role
- Interventions
- Behavioral: Electronic Record Alert
- Registration Number
- NCT02709772
- Lead Sponsor
- Stanford University
- Brief Summary
10 Clinics within Stanford Health Care are randomized to receive or not receive provider alerts for 5 commonly overused tests and treatments.
- Detailed Description
10 Clinics within Stanford Health Care are randomized to receive or not receive provider alerts for 5 commonly overused tests and treatments.
Thus there will potentially be 50 clinics enrolled across the 5 tests/treatment categories. However, it is expected that some clinics will meet criteria to be one of the 10 clinics in more than test/treatment category. Thus the total number of clinics involved will be between 10 and 50.
These 5 tests / treatments are taken from the Choosing Wisely list. All alerts will be provided using the electronic medical record and will be automated.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 50
High volume clinics defined as the top 10 clinics in Stanford Health Care based on number of electronic orders.
None
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Provider Alert Electronic Record Alert This arm is the intervention arm. This arm will receive the Electronic Record Alert.
- Primary Outcome Measures
Name Time Method Number of electronic orders entered per 100 clinic patients. 6 months There are five primary outcomes for the five different alerts. For each alert study the outcome will be orders that would qualify for an alert per 100 patients.
- Secondary Outcome Measures
Name Time Method Number of potential electronic alerts divided by the number of electronic orders 6 months There will be five secondary outcomes which will be the alert candidate to order ratio. For both the control and intervention groups we will determine the fraction of orders that qualify for an alert.