Sustained and cumulative impact of an electronic medical record‐based alert on a hepatitis C birth cohort screening programme
The study aimed to assess the effect of an electronic medical record‐embedded best practice alert (BPA) on HCV age cohort screening in primary care clinics. HCV testing by primary care physicians was monitored prior and subsequent to the implantation of the BPA. Four intervals of 9 months duration w...
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Published in | Journal of viral hepatitis Vol. 28; no. 8; pp. 1200 - 1205 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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01.08.2021
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Abstract | The study aimed to assess the effect of an electronic medical record‐embedded best practice alert (BPA) on HCV age cohort screening in primary care clinics. HCV testing by primary care physicians was monitored prior and subsequent to the implantation of the BPA. Four intervals of 9 months duration were analysed in detail, including a pre‐BPA baseline analysis and three annual post‐BPA assessments. Pre‐ and post‐BPA orders consistently followed a power law distribution, characterized by small groups of physicians placing the majority of test orders. Significant correlations were present between the numbers of tests orders by each physician, suggesting that ‘high’ and ‘low’ screening performances tended to be physician‐specific. Testing rates increased markedly in response to the BPA, resulting in completion of screening in 56.8% (50,468 of 88,914%) of the entire age cohort within less than 3 years. In conclusion, HCV age cohort testing by primary care physicians follows a power‐law distribution, with high‐performing physicians contributing disproportionately to the overall effort. A simple BPA resulted in a sufficient increase in testing to allow testing of the entire target population within a reasonable time frame. |
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AbstractList | Abstract
The study aimed to assess the effect of an electronic medical record‐embedded best practice alert (BPA) on HCV age cohort screening in primary care clinics. HCV testing by primary care physicians was monitored prior and subsequent to the implantation of the BPA. Four intervals of 9 months duration were analysed in detail, including a pre‐BPA baseline analysis and three annual post‐BPA assessments. Pre‐ and post‐BPA orders consistently followed a power law distribution, characterized by small groups of physicians placing the majority of test orders. Significant correlations were present between the numbers of tests orders by each physician, suggesting that ‘high’ and ‘low’ screening performances tended to be physician‐specific. Testing rates increased markedly in response to the BPA, resulting in completion of screening in 56.8% (50,468 of 88,914%) of the entire age cohort within less than 3 years. In conclusion, HCV age cohort testing by primary care physicians follows a power‐law distribution, with high‐performing physicians contributing disproportionately to the overall effort. A simple BPA resulted in a sufficient increase in testing to allow testing of the entire target population within a reasonable time frame. The study aimed to assess the effect of an electronic medical record‐embedded best practice alert (BPA) on HCV age cohort screening in primary care clinics. HCV testing by primary care physicians was monitored prior and subsequent to the implantation of the BPA. Four intervals of 9 months duration were analysed in detail, including a pre‐BPA baseline analysis and three annual post‐BPA assessments. Pre‐ and post‐BPA orders consistently followed a power law distribution, characterized by small groups of physicians placing the majority of test orders. Significant correlations were present between the numbers of tests orders by each physician, suggesting that ‘high’ and ‘low’ screening performances tended to be physician‐specific. Testing rates increased markedly in response to the BPA, resulting in completion of screening in 56.8% (50,468 of 88,914%) of the entire age cohort within less than 3 years. In conclusion, HCV age cohort testing by primary care physicians follows a power‐law distribution, with high‐performing physicians contributing disproportionately to the overall effort. A simple BPA resulted in a sufficient increase in testing to allow testing of the entire target population within a reasonable time frame. The study aimed to assess the effect of an electronic medical record‐embedded best practice alert (BPA) on HCV age cohort screening in primary care clinics. HCV testing by primary care physicians was monitored prior and subsequent to the implantation of the BPA. Four intervals of 9 months duration were analysed in detail, including a pre‐BPA baseline analysis and three annual post‐BPA assessments. Pre‐ and post‐BPA orders consistently followed a power law distribution, characterized by small groups of physicians placing the majority of test orders. Significant correlations were present between the numbers of tests orders by each physician, suggesting that ‘high’ and ‘low’ screening performances tended to be physician‐specific. Testing rates increased markedly in response to the BPA, resulting in completion of screening in 56.8% (50,468 of 88,914%) of the entire age cohort within less than 3 years. In conclusion, HCV age cohort testing by primary care physicians follows a power‐law distribution, with high‐performing physicians contributing disproportionately to the overall effort. A simple BPA resulted in a sufficient increase in testing to allow testing of the entire target population within a reasonable time frame. |
Author | Fimmel, Claus J. Gampa, Anuhya Sonnenberg, Amnon Belopolsky, Yuliya Khan, Mohammad Q. Imas, Polina |
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Cites_doi | 10.2105/AJPH.2013.301211 10.1016/j.amepre.2017.01.033 10.1001/jama.2019.20788 10.14503/THIJ-18-6842 10.15585/mmwr.rr6902a1 10.1186/s12916-018-1132-5 10.2478/jtim-2018-0012 10.1038/srep01783 10.14309/ctg.0000000000000297 10.4338/ACI-2009-12-RA-0023 10.7326/0003-4819-159-5-201309030-00672 |
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Snippet | The study aimed to assess the effect of an electronic medical record‐embedded best practice alert (BPA) on HCV age cohort screening in primary care clinics.... The study aimed to assess the effect of an electronic medical record-embedded best practice alert (BPA) on HCV age cohort screening in primary care clinics.... Abstract The study aimed to assess the effect of an electronic medical record‐embedded best practice alert (BPA) on HCV age cohort screening in primary care... |
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SubjectTerms | Age best practice alert birth cohort screening Electronic health records Electronic medical records Hepatitis C hepatitis C virus Medical records power law distribution Primary care |
Title | Sustained and cumulative impact of an electronic medical record‐based alert on a hepatitis C birth cohort screening programme |
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