Clinical Trial: Improving Otitis Media Care With Clinical Decision Support

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Improving Otitis Media Care With EHR-based Clinical Decision Support and Feedback

Brief Summary: This protocol will prospectively develop a new electronic health record (EHR)-based health information technology (IT) intervention that a) summarizes Otitis Media (OM) care into clinically meaningful episodes-of-care, b) provides clinical decision support based upon evidence-based guidelines to primary care and ENT physicians working within an integrated physician network that uses a common EHR, and c) tests the additive effects on quality and resource utilization of providing feedback to physicians.

Detailed Summary:

Context The high prevalence of Otitis Media (OM) and its enormous cost make it a prime target for cost-effective and evidence-based strategies for disease management.

Objectives

This protocol will prospectively develop a new electronic health record (EHR)-based health information technology (IT) intervention that a) summarizes OM care into clinically meaningful episodes-of-care, b) provides clinical decision support based upon evidence-based guidelines to primary care and ENT physicians working within an integrated physician network that uses a common EHR, and c) tests the additive effects on quality and resource utilization of providing feedback to physicians. The specific aims are:

Aim 1: To develop and pilot test the OM health IT intervention; Aim 2: To examine the overall effect of the health IT intervention and the independent contribution of physician feedback on quality of OM care (primary outcomes); Aim 3: To assess the effects of the intervention on the secondary outcomes of health care resource utilization and clinician adoption of the health IT.

Study Design/Settings/Participants A cluster randomized trial and multi-level statistical modeling will be used to estimate health IT intervention effects on study outcomes. The proposed project will be conducted in the Children's Hospital of Philadelphia's (CHOP) health care system. The heath IT intervention will be tested in the Pediatric Research Consortium (PeRC), which includes 28 primary care practices in the CHOP network, both urban and suburban, and the CHOP ENT clinical sites. Randomization and implementation of the intervention will occur at the practice level. Study outcomes of quality of care and resource utilization will be reported at the levels of the practi
Sponsor: Children's Hospital of Philadelphia

Current Primary Outcome: Quality of otitis media care. [ Time Frame: 18 Months ]

Original Primary Outcome: Quality of otitis media care. [ Time Frame: 12 Months ]

Current Secondary Outcome: Clinician adoption of intervention and Resource Utilization [ Time Frame: 18 months ]

Original Secondary Outcome: Clinician adoption of intervention and Resource Utilization [ Time Frame: 12 months ]

Information By: Children's Hospital of Philadelphia

Dates:
Date Received: December 19, 2007
Date Started: December 2007
Date Completion:
Last Updated: June 15, 2012
Last Verified: June 2012