Ignite Creation Date:
2024-05-06 @ 4:06 PM
Last Modification Date:
2024-10-26 @ 2:03 PM
Study NCT ID:
NCT04873609
Status:
COMPLETED
Last Update Posted:
2021-09-22
First Post:
2021-04-22
Brief Title:
Electronic Record Assimilation and Subsequent Eradication of Hepatitis C
Sponsor:
Stanford University
Organization:
Stanford University
Study Overview
Official Title:
Targeted Electronic Patient Portal Messaging Increases Hepatitis C Virus Screening in Primary Care a Randomized Study
Status:
COMPLETED
Status Verified Date:
2021-09
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:
ERASE-C
Brief Summary:
Given the disproportionately high risk of chronic hepatitis C virus HCV infection in the baby boomer cohort population-based screening has been demonstrated cost effective Compared to point-of-care testing however bulk health messages with coupled lab requisitions delivered directly to patients meeting screening criteria via patient portals could improve HCV screening at minimal cost
Detailed Description:
The Centers for Disease Control and Prevention CDC and the United States Preventative Services Taskforce USPSTF recommend a one-time hepatitis C infection HCV screen in individuals born 1945-65 baby boomer birth cohort and in others with risk factors for infection National adherence to this Grade B recommendation-carrying the same strength of evidence as mammography and screening for depression alcohol abuse and type 2 diabetes-is estimated to be 138 Efforts to increase screening and linkage to HCV care and also to understand barriers to screening and linkage are therefore warranted
One such intervention direct-to-patient messages via electronic medical record EMR has been demonstrated to improve adherence in influenza and pneumococcal vaccination colon cancer screening immunosuppression after transplantation among others but has not been studied as a strategy to improve HCV screening rates within health systems
Our institution Stanford Health Care comprises 86 distinct clinical sites with approximately 125 million outpatient visits per year All clinical sites are linked with an EMR Epic Systems Corp and patients are encouraged to opt-in to receive and send health-related messages through a secure internet and smartphone portal MyHealth Approximately 60 of patients at our institution are enrolled in MyHealth
MyHealth additionally allows bulk-messaging of patients meeting specific characteristics eg patients due for influenza vaccination Bulk messages can be coupled with laboratory or radiology requisitions Messages are delivered through the online portal text message e-mail andor smartphone application notification depending on patient preference Laboratory and radiology results are routed automatically to patients primary care physicians for review
The investigators propose to conduct a randomized study comparing the effectiveness of a direct-to-patient electronic health message on HCV screening coupled with a lab requisition versus HCV screening initiated by primary care clinicians as part of routine clinical care alone
One such intervention direct-to-patient messages via electronic medical record EMR has been demonstrated to improve adherence in influenza and pneumococcal vaccination colon cancer screening immunosuppression after transplantation among others but has not been studied as a strategy to improve HCV screening rates within health systems
Our institution Stanford Health Care comprises 86 distinct clinical sites with approximately 125 million outpatient visits per year All clinical sites are linked with an EMR Epic Systems Corp and patients are encouraged to opt-in to receive and send health-related messages through a secure internet and smartphone portal MyHealth Approximately 60 of patients at our institution are enrolled in MyHealth
MyHealth additionally allows bulk-messaging of patients meeting specific characteristics eg patients due for influenza vaccination Bulk messages can be coupled with laboratory or radiology requisitions Messages are delivered through the online portal text message e-mail andor smartphone application notification depending on patient preference Laboratory and radiology results are routed automatically to patients primary care physicians for review
The investigators propose to conduct a randomized study comparing the effectiveness of a direct-to-patient electronic health message on HCV screening coupled with a lab requisition versus HCV screening initiated by primary care clinicians as part of routine clinical care alone
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None