Clinical Decision Support for Opioid Use Disorders in Medical Settings: Usability Testing in an EMR (COMPUTE)

HealthPartners Institute

Status: Completed

Conditions: Opioid-use Disorder

Treatments: Other: Opioid Wizard

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03559179

0076-ot

3UG1DA040316-03S1 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The primary objective of this pilot study is to program an opioid use disorder (OUD) clinical decision support (CDS) tool for use in an electronic medical record (EMR) and obtain high primary care physician (PCP) usability and acceptability. The OUD-CDS is based on the NIDA-Blending Initiative white paper, "Clinical Decision Support for Opioid Use Disorders: Working Group Report," which itself is based on national evidence-based guidelines (American Society of Addiction Medicine (ASAM 2015), VA (VA 2015). As such, this pilot study aims to help PCPs achieve accepted standards of care in OUD treatment. The secondary objectives of this pilot study are to evaluate the usefulness of the tool by comparing OUD case-finding, medication-assisted therapy (MAT) and referral patterns pre- and post-CDS deployment for PCPs with and without CDS access.

Enrollment: 55 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Be an MD, Doctor of Osteopathy, Nurse Practitioner or Physician's Assistant engaged in independent primary care of adults at HealthPartners or Park Nicollet
• Have at least schedule 3 DEA prescribing privileges
• Voluntarily provide written informed consent to participate in this study

Exclusion criteria

• Less than half-time clinical primary care responsibilities

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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55 participants in 3 patient groups

Waivered Providers Receive the Opioid Wizard

Experimental group

Description:

All providers who have a buprenorphine waiver will receive the OUD clinical decision support tool (Opioid Wizard).

Treatment:

Other: Opioid Wizard

Does not Receive the Opioid Wizard

No Intervention group

Description:

All non-buprenorphine waivered providers will be randomized to receive or not receive the Opioid Wizard. This arm of providers will continue to treat their patients as usual.

Non-Waivered Providers who receive Opioid Wizard

Experimental group

Description:

All non-buprenorphine waivered providers will be randomized to receive or not receive the Opioid. This arm of providers will receive the OUD clinical decision support tool (Opioid Wizard).

Treatment:

Other: Opioid Wizard