Clinical trial NCT05173506: Child Health Improvement Through Computer Automation - Child Neurology (CHICA-CN) Evaluation
Official title: CHICA-CN Evaluation - Evaluation of a Computer Decision Support System in Child Neurology
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Neurologic Disorder
Keywords: Quality of Care
Child Health Improvement
Lead sponsor: Wake Forest University Health Sciences
Sponsor class: OTHER
Collaborators: name: Norton Healthcare
name: Indiana University
name: Child Neurology Foundation
First posted: 2021-12-30
Enrollment: 455
Sex: ALL
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All children under 18 years of age who attend one of two participating child neurology clinics who qualify for one of the four cohorts and who have at least three visits to that clinic and at least one visit during the study period

Brief summary: The study will evaluate a computer decision support system for child neurology, Child Health Improvement through Computer Automation - Child Neurology (CHICA-CN) using patient chart review, family phone surveys, and physician interviews in a before-after study design.

Detailed description: (CHICA-CN) Child Health Improvement through Computer Automation - Child Neurology is software that works with the electronic health record (EHR) to improve the efficiency and quality of care in the outpatient setting. Built in partnership with the Child Neurology Foundation, CHICA's guidance is based on authoritative guidelines from the American Academy of Neurology and others. The plan is to implement CHICA-CN in the Child Neurology Clinics at Wake Forest Baptist Health. To evaluate CHICA-CN the proposal is to look at data derived from three sources:

1. Chart Review to evaluate quality of care based on measures derived from four algorithms developed from American Academy of Neurology quality measures and typically documented in the medical record. This will be a before-after study design in which measurements will be obtained before and after the installation of CHICA-CN.
2. Parent Phone Surveys to Document the parent experience in terms of physician-patient communication, parent engagement, and satisfaction with use of the patient facing tablet interface. These data will be collected from families of patients identified for the chart review after the intervention.
3. Physician user satisfaction measures, including perceived value of the system and ease of use in general and as regards individual clinical issues. Surveys will be administered to physicians and clinic staff who used CHICA-CN.

Eligibility criteria: Inclusion Criteria:

* Must be patients in the participating clinical practices meeting inclusion criteria for one of the four cohorts

Exclusion Criteria:

* N/A

Primary outcomes:
measure: Chart Abstraction Outcomes - Transitions of Care
timeFrame: Visits will be extracted for the year before implementation of CHICA-CN and for a one year period after implementation of CHICA-CN
measure: Chart Abstraction Outcomes - Rescue Seizure Therapy for Children with Epilepsy
timeFrame: Visits will be extracted for the year before implementation of CHICA-CN and for a one year period after implementation of CHICA-CN
measure: Chart Abstraction Outcomes - Genetic Testing for Global Developmental Delay
timeFrame: Visits will be extracted for the year before implementation of CHICA-CN and for a one year period after implementation of CHICA-CN
measure: Chart Abstraction Outcomes - Adolescent Depression Screening
timeFrame: Visits will be extracted for the year before implementation of CHICA-CN and for a one year period after implementation of CHICA-CN
measure: Physician-patient communication Survey Score
timeFrame: Eligible patients will be identified as they have encounters, starting 6 months after implementation of CHICA-CN and continuing for 12 months, assessed for the identified visit, within 2 weeks of the visit
measure: Patient engagement Survey Score
timeFrame: Eligible patients will be identified as they have encounters, starting 6 months after implementation of CHICA-CN and continuing for 12 months, assessed for the identified visit, within 2 weeks of the visit
measure: Physician Satisfaction Survey
timeFrame: After one year of of clinicians using CHICA-CN
Secondary outcomes:
Other outcomes:
Locations:
city: Winston-Salem
country: United States
facility: Wake Forest University Health Sciences
state: North Carolina
Study officials:
affiliation: Wake Forest University Health Sciences
name: Jaclyn M Martindale, DO
role: PRINCIPAL_INVESTIGATOR
References: