Clinical trial NCT03584048: Charlotte Retention in Care Study
Official title: Charlotte Retention in Care Study - Clinical Decision Support System Prompts
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: HIV I Infection
Lead sponsor: Epividian
Sponsor class: INDUSTRY
Collaborators: name: ViiV Healthcare
First posted: 2018-07-12
Enrollment: 6500
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: HIV-1+, males, females, transgender, ≥18 years of age, residing in the Charlotte Metropolitan Area and with at least a single entry in the EHR in the last 2 years.

Brief summary: The objective of the Charlotte Retention in Care study is to assess if clinical decision support systems (CDSS) that produce standardized alerts for measures of retention in care across clinics in the city of Charlotte, North Carolina have the ability to increase retention in care measures within clinics and in surveillance reports.

Detailed description: Multiple Charlotte HIV Clinic providers are participating. "Primary" HIV provider will be defined as the primary physician or advanced care practitioner following a patient, as recorded in their respective Electronic Health Record (EHR) system and identified through CHORUS, a Clinical Decision Support System (CDSS) developed by Epividian. The CDSS will track patient case status as active or inactive (loss to follow-up, transferred medical care, or deceased). Providers will be informed of the study and sites will be contracted to participate in this collaborative research study. This study was approved by the Advarra Institutional Review Board.

Eligibility criteria: Inclusion Criteria:

* HIV-1+
* Any gender
* 18 years old or older
* Residing in the Charlotte, North Carolina metropolitan area
* At least a single entry in the EHR in the last 2 years

Primary outcomes:
measure: Engagement level
timeFrame: 12 months, 01-Nov-2018 to 31-Oct-2019
Secondary outcomes:
measure: Kept appointment
timeFrame: 12 months, 01-Nov-2018 to 31-Oct-2019
Other outcomes:
Locations:
city: Charlotte
country: United States
facility: Atrium Health
state: North Carolina
city: Charlotte
country: United States
facility: Amity Group Foundation
state: North Carolina
city: Charlotte
country: United States
facility: Ballantyne Family Medicine
state: North Carolina
city: Huntersville
country: United States
facility: Rosedale Medical
state: North Carolina
Study officials:
affiliation: Atrium Health (Carolinas HealthCare System)
name: Michael Leonard, MD
role: PRINCIPAL_INVESTIGATOR
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