Using Electronic Medical Record Data to Improve HIV Primary Care

Unity Health Toronto13 enrolled

Overview

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.

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 Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

Conditions

Quality of Health Care HIV/AIDS Electronic Health Records

Interventions

Audit and FeedbackBEHAVIORAL

Charts for enrolled physicians will be audited and they will receive feedback, consisting of tailored reports and one-on-one meeting with colleague to review at baseline, 3 months and 6 months

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Family physicians at the St. Michael's Hospital Academic Family Health Team who have at least 20 PLHA. Exclusion Criteria: * None

Locations (1)

St. Michael's Hospital

Toronto, Ontario, Canada

Outcomes

Primary Outcomes

Up to date viral load

Percentage of HIV infected patients who have an up to date HIV viral load

Time frame: Within six months

Secondary Outcomes

Clinic visit

To assess engagement in care (number of patients who went to see a physician)

Time frame: Within the last 6 months

Up-to-date cancer screenings

Presence of cancer monitoring for colorectal, breast and cervical cancers

Time frame: 1-3 years

Vaccinations

Up-to-date for both pneumococcal vaccines and seasonal influenza vaccine (number of patients who received a specific vaccination)

Time frame: Since 2013

Screening for diabetes

For those 40 or older, the presence of either a fasting blood glucose or HbA1c in the chart

Time frame: Within 1 year

Screening for hypercholesterolemia

For those 40 or older. the presence of an LDL or non-HDL in the chart

Time frame: Within 1 year

Screening for osteoporosis

For patients 50 years and older, the presence of a bone mineral density report

Time frame: Within 5 years

Data from ClinicalTrials.gov

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