Web-Enhanced Guideline Implementation for Post MI CBOC Patients
NCT00126750 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 847
Last updated 2015-07-23
Summary
To assist busy primary care clinicians in VA Community Based Outpatient Clinics (CBOCs) in managing complex patients by providing a single, interactive, and personalized source of information regarding applicable guidelines for post-MI patients. Specifically, 1) the investigators will identify barriers to provider adherence to guidelines within VHA clinics; 2) Apply guideline-based performance measures to electronic medical records (CPRS) and associated administrative data; 3) Implement the interactive Internet intervention developed by the NHLBI study, after inclusion of VA-specific components, including performance feedback for CBOC clinicians; and 4) Test hypotheses on the intervention's effectiveness, sustainability, and cost-effectiveness in both the VA and Medicare populations. This will include a randomized controlled trial with the CBOC as a unit of randomization.
Conditions
- Myocardial Infarction
- Comorbidity
Interventions
- BEHAVIORAL
-
VA MI Plus Interactive
The experimental intervention, customized to the individual clinician in real-time consists of Internet learning modules integrating case-based education with audit, feedback, and benchmarking of practice profiles.
Sponsors & Collaborators
-
US Department of Veterans Affairs
lead FED
Principal Investigators
-
Thomas K Houston, MD MPH · Edith Nourse Rogers Memorial Veterans Hospital, Bedford
-
Ellen Funkhouser, DrPH MS BS · VA Medical Center, Birmingham
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2003-09-30
- Primary Completion
- 2010-06-30
- Completion
- 2010-06-30
Countries
- United States
- Puerto Rico
Study Locations
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