Impact of Social Risk Decision Support

Not Applicable

Withdrawn

• Conditions: Health Social Determinant
• Interventions: Other: Risk screening tool exposure

• Registration Number: NCT03973346
• Lead Sponsor: Indiana University

Brief Summary

The purpose of this study is to determine the impact of embedding a risk-stratification tool, designed to identify patient needs for services that address social determinant of health related needs, in a commercial electronic health record system (EHR).

Detailed Description

Social determinant of health related needs and social risk factors complicate care delivery and drive health and well-being. Social needs are common among undeserved patient populations, but health care providers are often not equipped to routinely identify and address patients in need.

Using a combination of health information exchange, electronic health record, and aggregate datasets the investigators developed predictive algorithms to identify patients a highest risk for a need for a referral to a social worker, dietitian, behavioral health, or other wraparound service provider. Risk scores are available to primary care providers in two ways within the electronic health record system (EHR): 1) a graphical summary of individual risk or 2) a line listing of all scheduled patients.

The investigators are introducing the risk-stratification tool in an urban safety-net primary care provider on a voluntary usage basis.

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study First Submitted: 2019-05-28
• Study First Submitted QC: 2019-05-31
• Study Start: 2019-06-01
• Study First Posted: 2019-06-04
• Primary Completion: 2020-12-31
• Study Completion: 2020-12-31
• Status Verified: 2021-02
• Last Update Submitted: 2021-02-08
• Last Update Posted: 2021-02-10

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Encounters among patients seeking primary care service at any of the 9 Eskenazi Health FQHC clinics in Indianapolis, IN from January 2017 to May 2020.
• The propensity score matched primary care encounters from non-Eskenazi facilities.

Read More

Exclusion Criteria

• Emergency encounters or hospitalizations

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention group	Risk screening tool exposure	Encounters at primary care clinics with the risk screening tool

Primary Outcome Measures

Name	Time	Method
ED utilization rate	6 months	Rate of potentially avoidable emergency department utilization as determined by encounters recorded in health information exchange data and categorized using the NYU ED Algorithm.
Missed primary care appointments rate	6 months	Rate of no show / cancelled appointments at the intervention site primary care clinics as recorded in the intervention site's electronic health record system

Secondary Outcome Measures

Name	Time	Method
Hospitalization rate	6 months	Rate of all cause and potentially preventable hospitalization as determined by encounters recorded in health information exchange data and categorized using AHRQ's prevention quality indicator definitions

Trial Locations

Locations (1)

Eskenazi Health; 🇺🇸 Indianapolis, Indiana, United States