Study of an Intervention to Improve Problem List Accuracy and Use (MAPLE)

Mass General Brigham

Status: Unknown

Conditions: Osteopenia; Osteoporosis; Coronary Artery Disease; Breast Cancer; Stroke; Attention Deficit Disorder With Hyperactivity; Hypothyroidism; Sickle Cell Disease; Congestive Heart Failure; Hypertension; Myasthenia Gravis; Asthma; Renal Failure; Diabetes; Hyperthyroidism; Glaucoma; Renal Insufficiency; COPD; Hemophilia

Treatments: Other: MAPLE

Study type: Interventional

Funder types: Other

Identifiers

NCT01105923

2009P001846

Details and patient eligibility

About

The aim of this study is to identify patients with problem list gaps and intervene to correct these gaps by creating clinical decision support interventions that alert providers to likely problem list gaps and offer clinicians the opportunity to correct them. The investigators will randomize the clinics that will receive the intervention and formally evaluate the study after a period of 6 months for improved problem list completeness to determine the effectiveness of our intervention.

Full description

The clinical problem list is a cornerstone of the problem-oriented medical record. Problem lists are used in a variety of ways throughout the process of clinical care. In addition to its use by clinicians, the problem list is also critical for decision support and quality measurement.

Patients with gaps in their problem list face significant risks. For example, if a hypothetical patient has diabetes properly documented, his clinician would receive appropriate alerts and reminders to guide care. Additionally, the patient might be included in special care management programs and the quality of care provided to him would be measured and tracked. Without diabetes on his problem list, he might receive none of these benefits.

In this study, the investigators developed an clinical decision support intervention that will identify patients with problem lists gaps. The investigators will alert providers of these likely gaps and offer providers the opportunity to correct them.

Enrollment: 140 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Independent healthcare provider (physician, NP, PA)
• Practices at participating site

Exclusion criteria

• None

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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140 participants in 2 patient groups

Receive CDS intervention

Experimental group

Description:

Providers in clinics that will receive the CDS alert, as their clinic was randomized into our study.

Treatment:

Other: MAPLE

No CDS intervention

No Intervention group