A Phased-Implementation Feasibility and Proof-of-Concept Study to Assess Incorporating the NIDA CTN Common Data Elements (CDEs) Into the Electronic Health Record (EHR) in Large Primary Care Settings ("CDE-EHR-PC" Study), Phase 2
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/17/2019 |
| Start Date: | May 10, 2016 |
| End Date: | September 1, 2018 |
This is a 4-phase study to implement the NIDA (Common Data Elements) Common Data Elements
(CDEs) in primary care settings. The study will be conducted at three adult primary care
clinics, in two large health systems. Each phase will include deliverables essential to move
to the next phase, and an independent Advisory Committee will review progress and make
recommendations at each transition about how best to progress to each subsequent phase. Based
on progress during earlier phases, the Advisory Committee may recommend expansion to
additional clinics or health systems during the second part of Phase 4.
Phase 2 prepares for implementation of the screening and CDS tools as part of routine
clinical practice. A key component of this phase is tailoring the screening and CDS tools
through an iterative process of usability testing and adaptation of their design. In the KTA
framework, this phase corresponds to the 'select, tailor, and implement interventions' step.
Simultaneously, investigators will plan for implementation in one clinic of the MSHS system
by identifying clinical champions, educating clinic leadership and staff, and conducting a
workflow analysis to identify barriers and facilitators of implementation.
(CDEs) in primary care settings. The study will be conducted at three adult primary care
clinics, in two large health systems. Each phase will include deliverables essential to move
to the next phase, and an independent Advisory Committee will review progress and make
recommendations at each transition about how best to progress to each subsequent phase. Based
on progress during earlier phases, the Advisory Committee may recommend expansion to
additional clinics or health systems during the second part of Phase 4.
Phase 2 prepares for implementation of the screening and CDS tools as part of routine
clinical practice. A key component of this phase is tailoring the screening and CDS tools
through an iterative process of usability testing and adaptation of their design. In the KTA
framework, this phase corresponds to the 'select, tailor, and implement interventions' step.
Simultaneously, investigators will plan for implementation in one clinic of the MSHS system
by identifying clinical champions, educating clinic leadership and staff, and conducting a
workflow analysis to identify barriers and facilitators of implementation.
Inclusion Criteria:
- English speaking adult individuals aged 18 years or older, and employee at a Wave 1
clinic.
- Clinical implementation leaders Clinical implementation leaders are practicing PCPs
who provide feedback to the research team and support their colleagues on implementing
screening, using the CDS, and carrying out clinical interventions and referrals to
address unhealthy substance use. One or two primary care providers will be identified
from each clinic site to advise the research team on implementation and to serve as a
resource for their colleagues.
Exclusion Criteria:
- Inability to provide informed consent.
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Icahn School of Medicine at Mount Sinai Icahn School of Medicine at Mount Sinai is...
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