The objective of the Charlotte Retention in Care study is to assess if clinical decision support systems (CDSS) that produce standardized alerts for measures of retention in care across clinics in the city of Charlotte, North Carolina have the ability to increase retention in care measures within clinics and in surveillance reports.
Multiple Charlotte HIV Clinic providers are participating. "Primary" HIV provider will be defined as the primary physician or advanced care practitioner following a patient, as recorded in their respective Electronic Health Record (EHR) system and identified through CHORUS, a Clinical Decision Support System (CDSS) developed by Epividian. The CDSS will track patient case status as active or inactive (loss to follow-up, transferred medical care, or deceased). Providers will be informed of the study and sites will be contracted to participate in this collaborative research study. This study was approved by the Advarra Institutional Review Board.
Study Type
OBSERVATIONAL
Enrollment
6,500
Providers receive alerts of sub-optimal patient attendance using 4 rules.
Atrium Health
Charlotte, North Carolina, United States
Amity Group Foundation
Charlotte, North Carolina, United States
Ballantyne Family Medicine
Charlotte, North Carolina, United States
Rosedale Medical
Huntersville, North Carolina, United States
Engagement level
Pre and post-baseline engagement level. Engagement level is defined as patients with 0, 1, or 2+ visits to physician (identified as a visit that included the collection of 1 viral load and/or 1 CD4 count lab test).
Time frame: 12 months, 01-Nov-2018 to 31-Oct-2019
Kept appointment
Pre and post-baseline "kept appointment rate", the proportion of patients who attended their scheduled office visits.
Time frame: 12 months, 01-Nov-2018 to 31-Oct-2019
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