Iron-deficiency Anemia
Conditions
Brief summary
The objective is to determine if a set of clinical supports that includes computer-assisted identification, an EHR registry, facilitated GI referral, and an EHR tool for documentation improves the timely referral and completion of bidirectional endoscopy in men aged 18 years and older and women aged 40 years and older with iron deficiency anemia.
Interventions
BEHAVIORALClinical supports
Quality improvement tools for iron deficiency anemia that include computer-assisted identification, an EHR registry, facilitated GI referral, an EHR tool for documentation, and physician education
Sponsors
Northwestern University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Stratified physician-randomized controlled quality improvement intervention study.
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Northwestern Medical Group primary care physician (internal medicine, family medicine or geriatrics)
Exclusion criteria
No primary care office practice within Northwestern Medical Group
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bidirectional endoscopy completed | 120 days | Completion of upper and lower endoscopy, assessed using automated queries of the Northwestern Medicine Enterprise Data Warehouse occurring within the three years prior to the study start date and the 120 days following the study start date. Specificially, presence of one or more terms for a completed procedure from the code set for Espohagoduodenoscopy/Upper Endoscopy and one or more terms from the code set for Colonoscopy within the indicated time frame constitutes completion of the measure. Note:the investigators use a three-year look back because eligible patients may have completed either upper or lower endoscopy previously and only require one form of endoscopy during the study period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Endoscopy completed or scheduled | 120 days | Discrete evidence in the EHR that endoscopy has been completed or scheduled on or after the study start date. Specificially, presence in the Northwestern Medicine EHR of a completed or future scheduled procedure for one or more terms from the code set for Espohagoduodenoscopy/Upper Endoscopy or one or more terms from the code set for Colonoscopy within the indicated time frame constitutes completion of the measure. Note:the investigators use a three-year look back because eligible patients may have completed either upper or lower endoscopy previously and only require one form of endoscopy during the study period. |
| Gastroenterology consultation completed | 120 days | Completion of a consultation with gastroenterology (in person or telehealth) on or after the study start date Specificially, this outcome is indicated by the presence in the Northwestern Medicine EHR of a completed office visit or telehealth visit with a physician, physician assistant or advance practice nurse in the within the specialty department of gastroenterology. |
| GI referral provided or completed | 120 days | Receipt of a referral to gastroenterology or completion of a consultation with gastroenterology Specificially, this outcome is indicated by the presence in the Northwestern Medicine EHR of a completed office visit or telehealth visit with a physician, physician assistant or advance practice nurse in the within the specialty department of gastroenterology or the presence of a signed order for a gastroenterology referral or an endoscopy referral. |
Countries
United States
Outcome results
None listed