Intimate partner violence (IPV) against women in the US is a serious public health problem and a human rights issue. Our research team has developed confidential screening tools using exam-room computer for intimate partner violence to be used in primary care.
The objective of this study was to develop and evaluate an integrated suite of electronic health record (EHR) tools that automates "best practices" from Northern California Kaiser Permanente for screening and intervention for IPV identified within clinical settings. The goal of the intervention goes beyond mere screening of patients for IPV and includes tools for assessment of IPV risk, for documentation of IPV care, and support for a warm hand-off during the primary care visit to a national IPV hotline resource. Importantly, the study includes work to keep notes documenting IPV and billing for IPV care confidential, segmenting this care in a secure segment of the electronic health record.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
NONE
Enrollment
19,655
confidential screening using exam computer
confidential assessment and referral of high-risk patients using decision-support templates
Biomedical Informatics Center
Charleston, South Carolina, United States
IPV positive (Yes/No)
Depending on patient's answers to screening questions, they are flagged as either IPV positive or negative
Time frame: 29 months
Screening completed (Yes/No)
Whether the assigned screening was completed during patient visit
Time frame: 29 months
Severity of risk
using Danger 5 risk assessment, ranging from 0 to 5
Time frame: 29 months
Physician compliance with IPV management tools
Measured as the rate of completion of follow-up decision templates, and the rate of referrals for post-visit counseling to a national hotline (a share from screened positive patients
Time frame: 29 months
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