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

March 10, 2017 updated by: Timothy S. Loo, Beth Israel Deaconess Medical Center
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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

54

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Massachusetts
      • Boston, Massachusetts, United States, 02215
        • Beth Israel Deaconess Medical Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • ADULT
  • OLDER_ADULT
  • CHILD

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

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

Exclusion Criteria:

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: OTHER
  • Allocation: NON_RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
NO_INTERVENTION: Control
EXPERIMENTAL: EMR reminder
Other: EMR Reminder
EMR reminders displayed
EXPERIMENTAL: EMR reminder + Panel management
EMR reminder + Panel manager
Other: EMR Reminder + Panel management
EMR Reminder + Panel management

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
a designated health care proxy
Time Frame: 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
12 months after intervention made available
initial bone density scan
Time Frame: 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
12 months after intervention made available
administration of annual influenza vaccine
Time Frame: 12 months after intervention started
Administration of influenza vaccine was defined as vaccine documented as given at any location
12 months after intervention started
administration of pneumococcal vaccine
Time Frame: 12 months after the start of the intervention
Administration of pneumococcal vaccine was defined as vaccine documented as given at any location.
12 months after the start of the intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Beth Israel Deaconess Medical Center

Collaborators

Donald W. Reynolds Foundation

Investigators

  • Principal Investigator: Timothy S Loo, MD, Beth Israel Deaconess Medical Center

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2009

Primary Completion (ACTUAL)

May 1, 2010

Study Completion (ACTUAL)

May 1, 2010

Study Registration Dates

First Submitted

March 10, 2011

First Submitted That Met QC Criteria

March 10, 2011

First Posted (ESTIMATE)

March 11, 2011

Study Record Updates

Last Update Posted (ACTUAL)

March 14, 2017

Last Update Submitted That Met QC Criteria

March 10, 2017

Last Verified

March 1, 2017

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2009P000108

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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