Quality of Health Care, HIV/AIDS, Electronic Health Records
Conditions
Brief summary
This cluster randomized control trial examines whether an audit and feedback study improves care of patients living with HIV/AIDS in a family health team setting.
Detailed description
This cluster randomized control trial will use electronic medical record (EMR) data from the St. Michael's Hospital Academic Family Health Team to examine whether the quality of HIV care provided to patients can be improved through an audit and feedback (A&F) intervention. Our objective is to examine whether A&F targeting family physicians caring for people living with HIV/AIDS (PHLA) using EMR data can improve laboratory monitoring, engagement in primary care and the uptake of preventive interventions.
Interventions
BEHAVIORALAudit and Feedback
Charts for enrolled physicians will be audited and they will receive feedback, consisting of tailored reports and one-on-one meeting with colleague to review at baseline, 3 months and 6 months
Sponsors
Unity Health Toronto
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Family physicians at the St. Michael's Hospital Academic Family Health Team who have at least 20 PLHA.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Up to date viral load | Within six months | Percentage of HIV infected patients who have an up to date HIV viral load |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Up-to-date cancer screenings | 1-3 years | Presence of cancer monitoring for colorectal, breast and cervical cancers |
| Vaccinations | Since 2013 | Up-to-date for both pneumococcal vaccines and seasonal influenza vaccine (number of patients who received a specific vaccination) |
| Clinic visit | Within the last 6 months | To assess engagement in care (number of patients who went to see a physician) |
| Screening for hypercholesterolemia | Within 1 year | For those 40 or older. the presence of an LDL or non-HDL in the chart |
| Screening for osteoporosis | Within 5 years | For patients 50 years and older, the presence of a bone mineral density report |
| Screening for diabetes | Within 1 year | For those 40 or older, the presence of either a fasting blood glucose or HbA1c in the chart |
Countries
Canada
Outcome results
None listed