Web-Enhanced Guideline Implementation for Post MI CBOC Patients
Completed · Not applicable
Conditions studied: Myocardial Infarction, Comorbidity
In brief
To assist busy primary care clinicians in VA Community Based Outpatient Clinics (CBOCs) in managing complex patients by providing a single, interactive, and personalized source of information regarding applicable guidelines for post-MI patients. Specifically, 1) the investigators will identify barriers to provider adherence to guidelines within VHA clinics; 2) Apply guideline-based performance measures to electronic medical records (CPRS) and associated administrative data; 3) Implement the interactive Internet intervention developed by the NHLBI study, after inclusion of VA-specific components, including performance feedback for CBOC clinicians; and 4) Test hypotheses on the intervention's effectiveness, sustainability, and cost-effectiveness in both the VA and Medicare populations. This will include a randomized controlled trial with the CBOC as a unit of randomization.
Key facts
- Study ID
- NCT00126750
- Run by
- US Department of Veterans Affairs
- People needed
- 847
- Starts
- 2003-09-01
- Expected to finish
- 2010-06-01
- Last updated by the study team
- 2015-07-23
Who can join
Age: any. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Potential subjects are defined as any VA-employed physician, PA, or CRNP who is a CBOC provider. All such providers will be offered the opportunity to participate and will have the option to agree to participate or not. Performance measure data from records of post-MI patients of the above providers will be extracted to test the experimental intervention. (Note: No individually identifying patient information will be extracted.) All VA-employed CBOC providers (physicians, PAs, CRNPs) will be offered the opportunity to participate in this study. Any subject may refuse to participate or to discontinue participation at will at any point in the study without consequence.
You may not qualify if…
- Potential subjects must be VA-employed physician, PA, or CRNP who is a CBOC provider. No such healthcare providers will be excluded from the study.
Where it is running
- VA Medical Center, Birmingham — Birmingham, Alabama, United States
- Carl T. Hayden VA Medical Center — Phoenix, Arizona, United States
- Fayetteville, AR — Fayetteville, Arkansas, United States
- Long Beach — Long Beach, California, United States
- VA Medical Center — San Francisco, California, United States
- VA Connecticut Health Care System (West Haven) — West Haven, Connecticut, United States
- Bay Pines VA Healthcare System, Pay Pines, FL — Bay Pines, Florida, United States
- VA Medical Center, Miami — Miami, Florida, United States
- VA Medical Center, Decatur — Decatur, Georgia, United States
- Jesse Brown VAMC (WestSide Division) — Chicago, Illinois, United States
- VA Illiana Health Care System — Danville, Illinois, United States
- VA Medical Center Iowa City — Iowa City, Iowa, United States
- VA Eastern Kansas Health Care System - Topeka — Topeka, Kansas, United States
- Robert J. Dole VAMC & ROC — Wichita, Kansas, United States
- VA Medical Center, Louisville — Louisville, Kentucky, United States
- Overton Brooks VA Medical Center, Shreveport, LA — Shreveport, Louisiana, United States
- Edith Nourse Rogers Memorial Veterans Hospital — Bedford, Massachusetts, United States
- VA Boston Health Care System, Jamaica Plain — Boston, Massachusetts, United States
- VA Ann Arbor Healthcare System — Ann Arbor, Michigan, United States
- Battle Creek, MI — Battle Creek, Michigan, United States
- VA Gulf Coast Veterans Health Care System — Biloxi, Mississippi, United States
- Harry S. Truman Memorial VA Medical Center — Columbia, Missouri, United States
- Kansas City VA Medical Center — Kansas City, Missouri, United States
- VA Medical Center, St Louis — St Louis, Missouri, United States
- VA New Jersey Health Care System, East Orange — East Orange, New Jersey, United States
Full record on ClinicalTrials.gov
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