Electronic Medical Record Reminders and Panel Management to Improve Primary Care of Elderly Patients

Not Applicable

Completed

• Conditions: EMR Reminders to Improve Rates of Recommended Care
• Interventions: Other: EMR Reminder; Other: EMR Reminder + Panel management

• Registration Number: NCT01313169
• Lead Sponsor: Beth Israel Deaconess Medical Center

Brief Summary

The investigators conducted a controlled trial to assess the effectiveness of electronic medical record (EMR) reminders, with or without a panel manager, on completion of health care proxy, osteoporosis screening, and influenza and pneumococcal vaccinations for patients age 65 or older. The investigators hypothesized that EMR reminders would improve adherence to practice guidelines and that benefits would be enhanced with the support of a panel manager.

Detailed Description

Not available

Study Timeline

• Study Start: 2009-05
• Primary Completion: 2010-05
• Study Completion: 2010-05
• Study First Submitted: 2011-03-10
• Study First Submitted QC: 2011-03-10
• Study First Posted: 2011-03-11
• Status Verified: 2017-03
• Last Update Submitted: 2017-03-10
• Last Update Posted: 2017-03-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

• All practicing faculty primary care physicians at Beth Israel Deaconess Medical Center General Medicine & primary care ambulatory clinic

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
EMR reminder	EMR Reminder	EMR reminder
EMR reminder + Panel management	EMR Reminder + Panel management	EMR reminder + Panel manager

Primary Outcome Measures

Name	Time	Method
administration of pneumococcal vaccine	12 months after the start of the intervention	Administration of pneumococcal vaccine was defined as vaccine documented as given at any location.
administration of annual influenza vaccine	12 months after intervention started	Administration of influenza vaccine was defined as vaccine documented as given at any location
a designated health care proxy	12 months after intervention made available	A designated health care proxy was defined as a verified proxy documented in the EMR's health care proxy field
initial bone density scan	12 months after intervention made available	The initial bone density scan measure was defined as having either bone density scan ordered or a bone density scan completed

Trial Locations

Locations (1)

Beth Israel Deaconess Medical Center; 🇺🇸 Boston, Massachusetts, United States