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Completed

NCT Number: NCT04107233

Using Electronic Medical Record Data to Improve HIV Primary Care

This cluster randomized control trial examines whether an audit and feedback study improves care of patients living with HIV/AIDS in a family health team setting.

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Key information

Conditions

Quality of Health Care Acquired Immunodeficiency Syndrome Blood-Borne Infections Communicable Diseases Electronic Health Records Genital Diseases HIV Infections HIV/AIDS Immune System Diseases Immunologic Deficiency Syndromes Infections Lentivirus Infections RNA Virus Infections Retroviridae Infections Sexually Transmitted Diseases Sexually Transmitted Diseases, Viral Slow Virus Diseases Urogenital Diseases Virus Diseases

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

St. Michael's Hospital

Toronto, Ontario, M5B1W8, Canada

About this study

This cluster randomized control trial will use electronic medical record (EMR) data from the St. Michael's Hospital Academic Family Health Team to examine whether the quality of HIV care provided to patients can be improved through an audit and feedback (A&F) intervention. Our objective is to examine whether A&F targeting family physicians caring for people living with HIV/AIDS (PHLA) using EMR data can improve laboratory monitoring, engagement in primary care and the uptake of preventive interventions.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Family physicians at the St. Michael's Hospital Academic Family Health Team who have at least 20 PLHA.

Exclusion criteria

  • None

Treatment and study plan

Audit and Feedback

Behavioral

Charts for enrolled physicians will be audited and they will receive feedback, consisting of tailored reports and one-on-one meeting with colleague to review at baseline, 3 months and 6 months

Primary outcomes

  1. Up to date viral load

    Time frame: Within six months

    Percentage of HIV infected patients who have an up to date HIV viral load

Secondary outcomes

  1. Clinic visit

    Time frame: Within the last 6 months

    To assess engagement in care (number of patients who went to see a physician)

  2. Up-to-date cancer screenings

    Time frame: 1-3 years

    Presence of cancer monitoring for colorectal, breast and cervical cancers

  3. Vaccinations

    Time frame: Since 2013

    Up-to-date for both pneumococcal vaccines and seasonal influenza vaccine (number of patients who received a specific vaccination)

  4. Screening for diabetes

    Time frame: Within 1 year

    For those 40 or older, the presence of either a fasting blood glucose or HbA1c in the chart

  5. Screening for hypercholesterolemia

    Time frame: Within 1 year

    For those 40 or older. the presence of an LDL or non-HDL in the chart

  6. Screening for osteoporosis

    Time frame: Within 5 years

    For patients 50 years and older, the presence of a bone mineral density report

Sponsors and collaborators

Lead sponsor

Unity Health Toronto

Other

Registry information

Official study title

Using Electronic Medical Record Data to Improve HIV Primary Care: an Audit and Feedback Study

Important dates

Study start
2017
Primary completion
2019
Study completion
2021
First posted
Sep 27, 2019
Registry last updated
Jan 6, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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