Addressing Under-treatment and Health Equity in AS and MR Using an Integrated EHR Platform
NCT06099665 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 2118
Last updated 2026-03-06
Summary
This multi-center, prospective, cluster-randomized controlled trial will evaluate Tempus Next automated notifications as an intervention to support identification and evaluation of patients possibly indicated for Valve Intervention (VI). This study will evaluate the impact of Tempus Next's automated notifications on: (1) Transcatheter or surgical procedure for AS or MR; and (2) Clinic visit with at least one member of the Multidisciplinary Heart Team (including time to evaluation) for patients with definitive or possible severe AS or MR on echocardiogram. These endpoints will also be examined within and between assigned groups according to race, ethnicity, sex, and geography.
The primary question that will be answered:
Do automated alerts sent to clinical providers decrease under-treatment of severe aortic stenosis and severe mitral regurgitation?
The study will compare the rate of clinical follow-up and aortic valve surgery in a control group (no alerts sent) to a treatment group (alerts sent to an appropriate care provider).
Conditions
- Aortic Valve Stenosis
- Mitral Regurgitation
Interventions
- BEHAVIORAL
-
Automated alert
Receiving an automated alert via the EHR to highlight that the patient in question presents for severe aortic stenosis or severe mitral regurgitation according to the AHA guidelines and that they are a good candidate for valve intervention. The alert will not list any specific manufacturer's device.
Sponsors & Collaborators
Principal Investigators
-
Wayne Batchelor, MD · Director of Interventional Cardiology Inova Heart and Vascular Institute
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-08-27
- Primary Completion
- 2025-12-01
- Completion
- 2025-12-01
Countries
- United States
Study Locations
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