Using Electronic Medical Record Data to Improve HIV Primary Care

Not Applicable

Completed

• Conditions: Electronic Health Records; Quality of Health Care; HIV/AIDS
• Interventions: Behavioral: Audit and Feedback

• Registration Number: NCT04107233
• Lead Sponsor: Unity Health Toronto

Brief Summary

This cluster randomized control trial examines whether an audit and feedback study improves care of patients living with HIV/AIDS in a family health team setting.

Detailed Description

This cluster randomized control trial will use electronic medical record (EMR) data from the St. Michael's Hospital Academic Family Health Team to examine whether the quality of HIV care provided to patients can be improved through an audit and feedback (A\&F) intervention. Our objective is to examine whether A\&F targeting family physicians caring for people living with HIV/AIDS (PHLA) using EMR data can improve laboratory monitoring, engagement in primary care and the uptake of preventive interventions.

Study Timeline

• Study Start: 2017-04-03
• Primary Completion: 2019-01-31
• Study First Submitted: 2019-05-31
• Study First Submitted QC: 2019-09-25
• Study First Posted: 2019-09-27
• Study Completion: 2021-07-19
• Status Verified: 2024-12
• Last Update Submitted: 2025-01-03
• Last Update Posted: 2025-01-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 13

Inclusion Criteria

• Family physicians at the St. Michael's Hospital Academic Family Health Team who have at least 20 PLHA.

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Audit and Feedback	Audit and feedback directed at family physicians, including reports a one-on-one meeting.

Primary Outcome Measures

Name	Time	Method
Up to date viral load	Within six months	Percentage of HIV infected patients who have an up to date HIV viral load

Secondary Outcome Measures

Name	Time	Method
Clinic visit	Within the last 6 months	To assess engagement in care (number of patients who went to see a physician)
Up-to-date cancer screenings	1-3 years	Presence of cancer monitoring for colorectal, breast and cervical cancers
Vaccinations	Since 2013	Up-to-date for both pneumococcal vaccines and seasonal influenza vaccine (number of patients who received a specific vaccination)
Screening for diabetes	Within 1 year	For those 40 or older, the presence of either a fasting blood glucose or HbA1c in the chart
Screening for hypercholesterolemia	Within 1 year	For those 40 or older. the presence of an LDL or non-HDL in the chart
Screening for osteoporosis	Within 5 years	For patients 50 years and older, the presence of a bone mineral density report

Trial Locations

Locations (1)

St. Michael's Hospital; 🇨🇦 Toronto, Ontario, Canada