Trial Outcomes & Findings for VA Integrated Medication Manager (NCT NCT01787175)

Results Overview

Each participant had 10 minutes maximum to review the patient case and write an Assessment and Plan.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

58 participants

Primary outcome timeframe

10 minutes

Results posted on

2016-06-23

Participant Flow

Recruitment 12/2010 to 3/2011 at the Salt Lake City VA and University of Utah health care systems. Simulations took place at either of these locations.

Participant milestones

Participant milestones
Measure	Integrated Medication Manager Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.	Standard EHR Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.
Overall Study STARTED	30	28
Overall Study COMPLETED	30	28
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

VA Integrated Medication Manager

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Integration Medication Manager n=30 Participants Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.	Standard EHR n=28 Participants Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.	Total n=58 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	30 Participants n=5 Participants	28 Participants n=7 Participants	58 Participants n=5 Participants
Age, Categorical >=65 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Sex: Female, Male Female	18 Participants n=5 Participants	15 Participants n=7 Participants	33 Participants n=5 Participants
Sex: Female, Male Male	12 Participants n=5 Participants	13 Participants n=7 Participants	25 Participants n=5 Participants
Region of Enrollment United States	30 participants n=5 Participants	28 participants n=7 Participants	58 participants n=5 Participants

PRIMARY outcome

Timeframe: 10 minutes

Population: 58 providers were enrolled

Each participant had 10 minutes maximum to review the patient case and write an Assessment and Plan.

Outcome measures

Outcome measures
Measure	Integrated Medication Manager n=30 Participants Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.	Standard EHR n=28 Participants Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.
Amount of Time to Complete Assessment and Plan	8.5 minutes Standard Deviation 1.9	8.7 minutes Standard Deviation 1.6

PRIMARY outcome

Timeframe: 10 minutes

Each participant had 10 minutes maximum to review the patient case and write an Assessment and Plan. The primary outcome evaluated participants' recommendations for treatment of patient conditions. Participants reviewed a total of 10 patient cases and received a score between 0 and 3 points for each issue within each patient case. The final score for each participant was a proportion between 0 and 1. The proportion represented the sum of all points assigned to the participant, divided by the total number of points possible. Higher values on the scale represent greater accuracy of the written assessment and plan.

Outcome measures

Outcome measures
Measure	Integrated Medication Manager n=30 Participants Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.	Standard EHR n=28 Participants Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.
Accuracy of Written Assessment and Plan in Terms of Control and Status	0.609 units on a scale Interval 0.581 to 0.637	0.569 units on a scale Interval 0.535 to 0.604

SECONDARY outcome

Timeframe: 10 minutes

Each participant had 10 minutes maximum to review the patient case and write an Assessment and Plan. . The secondary outcome evaluated participants' recommendation about future monitoring of patient conditions. Participants reviewed a total of 10 patient cases and received a score of 0 or 1 point for each issue within each case. The final score for each participant was a proportion between 0 and 1. The proportion represented the sum of all points assigned to the participant, divided by the total number of points possible. Higher values on the scale represent a greater proportion of appropriate monitoring recommendations made.

Outcome measures

Outcome measures
Measure	Integrated Medication Manager n=30 Participants Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.	Standard EHR n=28 Participants Experienced providers that participated in the EHR simulations. Half of the providers were assigned to use the new Integrated Medication Manager (intervention) during the simulation. The other half were assigned the VA's CPRS to use (standard EHR). Providers were randomly assigned which system to use.
Identification of Planned Monitoring and Follow up Encounters in Assessment and Plan	0.505 proportion Interval 0.459 to 0.551	0.477 proportion Interval 0.43 to 0.525

Adverse Events

Integrated Medication Manager

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Standard EHR

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jonathan Nebeker

University of Utah Health Care System

Phone: 801-582-1565

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place