Clinical Decision Support for Opioid Use Disorders in Medical Settings: Usability Testing in an EMR

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-30

Study Completion Date

2019-02-14

Brief Summary

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The primary objective of this pilot study is to program an opioid use disorder (OUD) clinical decision support (CDS) tool for use in an electronic medical record (EMR) and obtain high primary care physician (PCP) usability and acceptability. The OUD-CDS is based on the NIDA-Blending Initiative white paper, "Clinical Decision Support for Opioid Use Disorders: Working Group Report," which itself is based on national evidence-based guidelines (American Society of Addiction Medicine (ASAM 2015), VA (VA 2015). As such, this pilot study aims to help PCPs achieve accepted standards of care in OUD treatment. The secondary objectives of this pilot study are to evaluate the usefulness of the tool by comparing OUD case-finding, medication-assisted therapy (MAT) and referral patterns pre- and post-CDS deployment for PCPs with and without CDS access.

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Detailed Description

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Conditions

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Opioid-use Disorder

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Waivered Providers Receive the Opioid Wizard

All providers who have a buprenorphine waiver will receive the OUD clinical decision support tool (Opioid Wizard).

Group Type EXPERIMENTAL

Opioid Wizard

Intervention Type OTHER

The Opioid Wizard is an OUD clinical decision support tool for primary care providers.

Does not Receive the Opioid Wizard

All non-buprenorphine waivered providers will be randomized to receive or not receive the Opioid Wizard. This arm of providers will continue to treat their patients as usual.

Group Type NO_INTERVENTION

No interventions assigned to this group

Non-Waivered Providers who receive Opioid Wizard

All non-buprenorphine waivered providers will be randomized to receive or not receive the Opioid. This arm of providers will receive the OUD clinical decision support tool (Opioid Wizard).

Group Type EXPERIMENTAL

Opioid Wizard

Intervention Type OTHER

The Opioid Wizard is an OUD clinical decision support tool for primary care providers.

Interventions

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Opioid Wizard

The Opioid Wizard is an OUD clinical decision support tool for primary care providers.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Be an MD, Doctor of Osteopathy, Nurse Practitioner or Physician's Assistant engaged in independent primary care of adults at HealthPartners or Park Nicollet
* Have at least schedule 3 DEA prescribing privileges
* Voluntarily provide written informed consent to participate in this study