N/A Completed N=847 Randomized Single-blind Health Services Research

Web-Enhanced Guideline Implementation for Post MI CBOC Patients

Myocardial Infarction · Comorbidity

Source: ClinicalTrials.gov NCT00126750 ↗

Enrolled (actual)

847

Serious AEs

—

Results posted

Jul 2015

Primary outcomePrimary: Primary Outcome Was the Performance of Each Provider on Each of Seven Clinical Indicators — 2.8; 2.1; 11.5; 9.5 percentage of provider's patients

Summary

To assist busy primary care clinicians in VA Community Based Outpatient Clinics (CBOCs) in managing complex patients by providing a single, interactive, and personalized source of information regarding applicable guidelines for post-MI patients. Specifically, 1) the investigators will identify barriers to provider adherence to guidelines within VHA clinics; 2) Apply guideline-based performance measures to electronic medical records (CPRS) and associated administrative data; 3) Implement the interactive Internet intervention developed by the NHLBI study, after inclusion of VA-specific components, including performance feedback for CBOC clinicians; and 4) Test hypotheses on the intervention's effectiveness, sustainability, and cost-effectiveness in both the VA and Medicare populations. This will include a randomized controlled trial with the CBOC as a unit of randomization.

Outcome Measures

Outcome	Result	p-value
PRIMARY Primary Outcome Was the Performance of Each Provider on Each of Seven Clinical Indicators	2.8; 2.1; 11.5; 9.5; 15.5; 12.1	—

Eligibility Criteria

Inclusion Criteria

Potential subjects are defined as any VA-employed physician, PA, or CRNP who is a CBOC provider. All such providers will be offered the opportunity to participate and will have the option to agree to participate or not. Performance measure data from records of post-MI patients of the above providers will be extracted to test the experimental intervention. (Note: No individually identifying patient information will be extracted.) All VA-employed CBOC providers (physicians, PAs, CRNPs) will be offered the opportunity to participate in this study. Any subject may refuse to participate or to discontinue participation at will at any point in the study without consequence.

Exclusion Criteria

Potential subjects must be VA-employed physician, PA, or CRNP who is a CBOC provider. No such healthcare providers will be excluded from the study.

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Data sourced from ClinicalTrials.gov (NCT00126750). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.