Impact of MayoExpertAdvisor on Provider Adherence

MEA is designed to increase adherence to consensus national guidelines and quality measures
which are the standard of care for hyperlipidemia, atrial fibrillation, and heart failure.
These diseases were selected based on national data which suggest there is less than optimal
adherence to standard of care therapy and this non-adherence is associated with adverse
cardiovascular outcomes.

There are 29 care teams in the Employee and Community Health (ECH) practice. Care teams are
comprised of 4-8 clinicians who provide primary care to between 3,000 and 8000 patients. 8
care teams are resident/fellow led and will be excluded from the study. The remaining 21
care teams in the ECH practice will be stratified by clinic location and provider specialty
(Internal Medicine, Family Medicine). 20 care teams will then be cluster-randomized to
either the intervention arm or standard of care arm.

Prior to randomization, clinicians in both arms will receive the same educational module to
the current guidelines for management of the atrial fibrillation, heart failure and
hyperlipidemia. Clinicians in the intervention arm will receive training by the research
team on the use of MEA. This training will clearly inform clinicians that they are always to
use their best clinical judgment.

Clinician Inclusion Criteria:

- Physicians

- Assistants

- Nurse Practitioners

Clinician Exclusion Criteria:

- Clinicians providing care to nursing home patients

- Pediatricians

- Residents and fellows

Patient Record Inclusion Criteria:

- Diagnosis of hyperlipidemia, atrial fibrillation, and/or heart failure

Patient Record Exclusion Criteria:

- Unscheduled visits