Ignite Creation Date:
2024-05-05 @ 12:03 PM
Last Modification Date:
2024-10-26 @ 9:19 AM
Study NCT ID:
NCT00227786
Status:
COMPLETED
Last Update Posted:
2013-08-16
First Post:
2005-09-26
Brief Title:
Primary Care Physicians Use of Stop-Smoking Plans to Help Patients Who Are Smokers
Sponsor:
Kaiser Permanente
Organization:
Kaiser Permanente
Study Overview
Official Title:
Using Electronic Medical Records to Measure and Improve Adherence to Tobacco Treatment Guidelines in Primary Care
Status:
COMPLETED
Status Verified Date:
2005-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
RATIONALE Stop-smoking plans suggested by physicians may help patients quit smoking Studying how physicians give stop-smoking treatment as family doctors may increase the chance of smokers receiving such treatment
PURPOSE This randomized clinical trial is studying physicians practice patterns to see if regular feedback to the physician increases the chance of adult smokers receiving stop-smoking treatment
PURPOSE This randomized clinical trial is studying physicians practice patterns to see if regular feedback to the physician increases the chance of adult smokers receiving stop-smoking treatment
Detailed Description:
OBJECTIVES
Develop an automated coding system using existing electronic medical records EMRs to assess adherence to national tobacco-cessation treatment guidelines by individual physicians in the primary care setting at 4 health maintenance organizations
Compare the validity of the automated coding system with that of coding performed by medical record abstractors
Determine the effect of performance feedback on tobacco treatment practice patterns over 2 years among primary care physicians
Provide recommendations for recording tobacco-cessation treatment services in EMR systems and evaluating adherence to treatment guidelines
Produce a set of computer programs that can be easily adopted in diverse health care settings for assessing adherence to the national tobacco-cessation treatment guidelines using data from EMRs
OUTLINE This is a randomized controlled multicenter study Physicians from each participating center are sorted into pairs according to their rate of providing advice to quit smoking to identified adult smokers and the number of identified adult smokers seen in the 3-month baseline observation period Each physician in the pair is then randomized to 1 of 2 arms
Arm I automated coding system feedback Physicians receive reports from an automated coding system regarding their performance in administering tobacco-cessation services in each of the five As Ask Advise Assess Assist and Arrange to identified smokers in comparison with their past performance and in comparison with their anonymous colleagues once every 3 months One year after randomization these physicians are further randomized using the same paired-group approach to either continue receiving automated coding system feedback for 1 additional year OR to stop receiving feedback
Physicians receive a survey at the end of 2-year period regarding the usefulness of each aspect of the feedback reports and the feedback program in general
Arm II control Physicians do not receive any information regarding their performance in administering tobacco-cessation services in each of the five As to identified smokers
A questionnaire about tobacco-cessation services in primary care is sent to patients of all physicians within two weeks of each patients primary care visit and then at the end of the first year of providing feedback to physicians to compare patient report of tobacco-cessation services with what is documented in the electronic medical record for that primary care visit
PROJECTED ACCRUAL At least 40 primary care physicians per participating center and 1000 patients 250 per participating center will be accrued for this study
Develop an automated coding system using existing electronic medical records EMRs to assess adherence to national tobacco-cessation treatment guidelines by individual physicians in the primary care setting at 4 health maintenance organizations
Compare the validity of the automated coding system with that of coding performed by medical record abstractors
Determine the effect of performance feedback on tobacco treatment practice patterns over 2 years among primary care physicians
Provide recommendations for recording tobacco-cessation treatment services in EMR systems and evaluating adherence to treatment guidelines
Produce a set of computer programs that can be easily adopted in diverse health care settings for assessing adherence to the national tobacco-cessation treatment guidelines using data from EMRs
OUTLINE This is a randomized controlled multicenter study Physicians from each participating center are sorted into pairs according to their rate of providing advice to quit smoking to identified adult smokers and the number of identified adult smokers seen in the 3-month baseline observation period Each physician in the pair is then randomized to 1 of 2 arms
Arm I automated coding system feedback Physicians receive reports from an automated coding system regarding their performance in administering tobacco-cessation services in each of the five As Ask Advise Assess Assist and Arrange to identified smokers in comparison with their past performance and in comparison with their anonymous colleagues once every 3 months One year after randomization these physicians are further randomized using the same paired-group approach to either continue receiving automated coding system feedback for 1 additional year OR to stop receiving feedback
Physicians receive a survey at the end of 2-year period regarding the usefulness of each aspect of the feedback reports and the feedback program in general
Arm II control Physicians do not receive any information regarding their performance in administering tobacco-cessation services in each of the five As to identified smokers
A questionnaire about tobacco-cessation services in primary care is sent to patients of all physicians within two weeks of each patients primary care visit and then at the end of the first year of providing feedback to physicians to compare patient report of tobacco-cessation services with what is documented in the electronic medical record for that primary care visit
PROJECTED ACCRUAL At least 40 primary care physicians per participating center and 1000 patients 250 per participating center will be accrued for this study
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| KAISER-U19-CA099193 | None | None | None |