Evaluating the impact of an integrated computer-based decision support with person-centered analytics for the management of asthma in primary care: A randomized controlled trial

Journal of the American Medical Informatics Association

Volumn 22, Issue 4, 2015, Pages 773-783

  Tamblyn, Robyn ^a,b   Ernst, Pierre ^c   Winslade, Nancy ^b   Huang, Allen ^d   Grad, Roland ^e   Platt, Robert W ^b   Ahmed, Sara ^a,b   Moraga, Teresa ^b   Eguale, Tewodros ^b  

^a MCGILL UNIVERSITY HEALTH CENTRE   (Canada)

^b MCGILL UNIVERSITY   (Canada)

^c MCGILL UNIVERSITY   (Canada)

^d UNIVERSITY OF OTTAWA   (Canada)

^e MCGILL UNIVERSITY   (Canada)

Author keywords

Asthma; Computer decision support; MOXXI; Out of control; Personalized medicine; RCT

Indexed keywords

BETA ADRENERGIC RECEPTOR STIMULATING AGENT; CORTICOSTEROID; LEUKOTRIENE RECEPTOR BLOCKING AGENT;

ADOLESCENT; ADULT; AGED; ARTICLE; ASTHMA; CANADA; CHILD; CLINICAL EFFECTIVENESS; CLINICAL EVALUATION; CONFIDENCE INTERVAL; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; ELECTRONIC MEDICAL RECORD; EMERGENCY HEALTH SERVICE; EVIDENCE BASED PRACTICE; FEMALE; FOLLOW UP; GENERAL PRACTITIONER; HEALTH CARE QUALITY; HOME CARE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT; PATIENT MONITORING; PERSONALIZED MEDICINE; PRIMARY MEDICAL CARE; RANDOMIZED CONTROLLED TRIAL; SCHOOL CHILD; SINGLE BLIND PROCEDURE; YOUNG ADULT; COMPUTER INTERFACE; PRIMARY HEALTH CARE;

ASTHMA; DECISION MAKING, COMPUTER-ASSISTED; FEMALE; HUMANS; MALE; PHYSICIANS, PRIMARY CARE; PRECISION MEDICINE; PRIMARY HEALTH CARE; SINGLE-BLIND METHOD; USER-COMPUTER INTERFACE;

EID: 84940384332     PISSN: 10675027     EISSN: 1527974X     Source Type: Journal    
DOI: 10.1093/jamia/ocu009     Document Type: Article

References (65)

1. Vinicor F. Diabetes mellitus and asthma: "twin" challenges for public health and managed care systems. Am J Prev Med. 1998;14 (Suppl 3):87-92.
2. Wilkins K, Mao Y. Trends in rates of admission to hospital and death from asthma among children and young adults in Canada during the 1980s. Can Med Assoc J. 1993;148 (2):185-190.
3. Kelloway JS. A United States approach to the management of asthma in a managed care environment. Eur Respir Rev. 1996;6 (33):50-53.
4. Braman SS. The Global Burden of Asthma*. Chest. 2006;130:4S-12S.
5. The Conference Board of Canada. Lung Disease Imposes Major Costs on Canada's Economy. News Release, March 15. 2012:12-96.
6. Krahn MD, Berka C, Langlois P, Detsky AS. Direct and Indirect Costs of Asthma in Canada, 1990. Can Med Assoc J. 1996;154 (6):821-831.
7. Booth A. Benefits of an individual asthma action plan. Pract Nurs. 2012;23: 592-604.
8. Zemek RL, Bhogal SK, Ducharme FM. Systematic review of randomized controlled trials examining written action plans in children: what is the plan? Arch Pediatr Adolesc Med. 2008;162:157.
9. Bhogal S, Zemek R, Ducharme FM. Written action plans for asthma in children. Cochrane Database Syst Rev. 2006;3.
10. Gibson PG, Powell H. Written action plans for asthma: an evidence-based review of the key components. Thorax. 2004;59:94-99.
11. Boulet LP, Becker A, Berube D, Beveridge R, Ernst P; on behalf of the Canadian Asthma Consensus Group. Summary of recommendations from the Canadian Asthma Consensus Report, 1999. CMAJ Suppl. 2003;161.
12. Fitzgerald JM, Ernst P, Boulet LP, O'Byrne P. Measures of outcome. Evidence-Based Asthma Management. Hamilton, London: BC Decker Inc.; 2001:307-322.
13. Boulet LP, Bai TR, Becker A, et al. What is new since the last (1999) Canadian Asthma Consensus Guidelines? [comment]. Can Respir J. 2001;8 (Suppl A):3A-27A.
14. Gibson PG. Monitoring the patient with asthma: an evidence-based approach. [see comments.]. [Review] [72 refs]. J Allergy Clin Immunol. 2000;106:t-26.
15. Lougheed MD, Lemiere C, Ducharme FM, et al. Canadian Thoracic Society 2012 guideline update: diagnosis and management of asthma in preschoolers, children and adults. Can Respir J. 2012;19:127-164.
16. Blais L, Suissa S, Boivin JF, Ernst P. First treatment with inhaled corticosteroids and the prevention of admissions to hospital for asthma. Thorax. 1998;53:1025-1029.
17. Blais L, Ernst P, Boivin JF, Suissa S. Inhaled corticosteroids and the prevention of readmission to hospital for asthma. Am J Respir Crit Care Med. 1998;158:126-132.
18. Suissa S, Ernst P, Kezouh A. Regular use of inhaled corticosteroids and the long term prevention of hospitalisation for asthma. Thorax. 2002;57:880-884.
19. Suissa S, Ernst P, Benayoun S, Baltzan M, Cai B. Low-dose inhaled corticosteroids and the prevention of death from asthma. New Engl J Med. 2000; 343:332-336.
20. Licskai C, Sands T, Ong M, Paolatto L, Nicoletti I. Using a knowledge translation framework to implement asthma clinical practice guidelines in primary care. Int J Qual Health Care. 2012;24:538-546.
21. Chapman KR, Ernst P, Grenville A, Dewland P, Zimmerman S. Control of asthma in Canada: failure to achieve guideline targets. Can Respir J. 2001;8 (Suppl A):35A-40A.
22. Bateman ED, Boushey HA, Bousquet J, et al. Can guideline-defined asthma control be achieved? The Gaining Optimal Asthma ControL study. Am J Respir Crit Care Med. 2004;170:836-844.
23. Wechsler ME. Managing asthma in primary care: putting new guideline recommendations into context. Mayo Clin Proc. 2009;84:707-717.
24. Yawn BP. The role of the primary care physician in helping adolescent and adult patients improve asthma control. Mayo Clin Proc. 2011;86: 894-902.
25. Crim C. Clinical practice guidelines vs actual clinical practice: the asthma paradigm. Chest. 2000;118 (Suppl S):62S-64S.
26. Hunt DL, Haynes B, Hanna SE, Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes. A systematic review. JAMA. 1998;280:1339-1346.
27. Burack RC, Gimotty PA, George J, et al. Promoting screening mammography in inner-city settings: a randomized controlled trial of computerized reminders as a component of a program to facilitate mammography. Med Care. 1994;32:609-624.
28. Frame PS, Zimmer JG, Werth PL, Hall WJ, Eberly SW. Computer-based vs manual health maintenance tracking. A controlled trial. Arch Fam Med. 1994;3:581-588.
29. McPhee SJ, Bird JA, Fordham D, Rodnick JE, Osborn EH. Promoting cancer prevention activities by primary care physicians. Results of a randomized, controlled trial. JAMA. 1991;266:538-544.
30. Turner RC, Peden JG Jr, O'Brien K. Patient-carried card prompts vs computer-generated prompts to remind private practice physicians to perform health maintenance measures. Arch Intern Med. 1994;154:1957-1960.
31. Rind DM, Safran C, Phillips RS, et al. Effect of computer-based alerts on the treatment and outcomes of hospitalized patients. Arch Intern Med. 1994; 154:1511-1517.
32. Montgomery AA, Fahey T, Peters TJ, MacIntosh C, Sharp DJ. Evaluation of computer based clinical decision support system and risk chart for management of hypertension in primary care: randomised controlled trial. Br Med J. 2000;320:686-690.
33. Shegog R, Bartholomew LK, Sockrider MM, et al. Computer-based decision support for pediatric asthma management: description and feasibility of the Stop Asthma Clinical System. Health Informatics J. 2006;12: 259-273.
34. Roshanov PS, Misra S, Gerstein HC, et al. Computerized clinical decision support systems for chronic disease management: a decision-makerresearcher partnership systematic review. Implement Sci. 2011;6:92.
35. Eccles M, McColl E, Steen N, et al. Effect of computerised evidence based guidelines on management of asthma and angina in primary care: cluster randomised controlled trial. Br Med J. 2002;325:941-947.
36. Tierney WM, Overhage JM, Murray MD, et al. Can computer-generated evidence-based care suggestions enhance evidence-based management of asthma and chronic obstructive pulmonary disease? A randomized, controlled trial. Health Serv Res. 2005;40:477-498.
37. Kattan M, Crain EF, Steinbach S, et al. A randomized clinical trial of clinician feedback to improve quality of care for inner-city children with asthma. Pediatrics. 2006;117:e1095-e1103.
38. Bell LM, Grundmeier R, Localio R, et al. Electronic health record-based decision support to improve asthma care: a cluster-randomized trial. Pediatrics. 2010;125:e770-e777.
39. Tamblyn R, Huang A, Perreault R, et al. The medical office of the 21st century (MOXXI): effectiveness of computerized decision-making support in reducing inappropriate prescribing in primary care. CMAJ. 2003;169:549-556.
40. Boulet LP, Becker A, Berube D, Beveridge R, Ernst P. Canadian Asthma Consensus Report, 1999. Canadian Asthma Consensus Group. Can Med Assoc J. 1999;161:S1-S61.
41. Ernst P. Education of asthmatic patients. The Quebec experience. Revue Francaise D Allergologie et d Immunologie Clinique. 1998;38:784-788.
42. Spitzer WO, Suissa S, Ernst P, et al. The use of B-agonists and the risk of death and near death from asthma. N Engl J Med. 1992;326:501-506.
43. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. 2014. http://www.ginasthma.org/local/uploads/files/GINA_Report_2014_Aug12.pdf. Accessed August 26, 2014.
44. Sin DD, Tu JV. Inhaled corticosteroids and the risk of mortality and readmission in elderly patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2001;164:580-584.
45. Chuang JH, Hripcsak G, Jenders RA. Considering Clustering: A Methodological Review of Clinical Decision Support System Studies. Proc AMIA Symp. 2000;146-150.
46. Plaza V, Cobos A, Ignacio-Garcia JM, et al. [Cost-effectiveness of an intervention based on the Global INitiative for Asthma (GINA) recommendations using a computerized clinical decision support system: a physicians randomized trial]. Med Clin. 2005;124:201-206.
47. McCowan RGN. Lessons from a randomized controlled trial designed to evaluate computer decision support software to improve the management of asthma. Inform Health Soc Care. 2001;26:191-201.
48. Peters TE, Bhavaraju NC, Frei MG, Osorio I. Network system for automated seizure detection and contingent delivery of therapy. J Clin Neurophysiol. 2001;18:545-549.
49. Skledar SJ, Niccolai CS, Schilling D, et al. Quality-improvement analytics for intravenous infusion pumps. Am J Health Syst Pharm. 2013;70: 680-686.
50. Institute of Medicine, Committee on the National Quality Report on Health Care Delivery, Corrigan J, et al. Envisioning the National Health Care Quality Report. Washington, DC: National Academy Press; 2001.
51. Institute of Medicine of the National Academies. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care. Washington, D.C: The National Academies Press; 2013.
52. Hutchison B, Levesque JF, Strumpf E, Coyle N. Primary health care in Canada: systems in motion. Milbank Q. 2011;89:256-288.
53. Hutchison B, Glazier R. Ontario's primary care reforms have transformed the local care landscape, but a plan is needed for ongoing improvement. Health Aff. 2013;32:695-703.
54. Hutchison B, Abelson J, Lavis J. Primary care in Canada: so much innovation, so little change. Health Aff. 2001;20:116-131.
55. Pham HH, Ginsburg PB. Unhealthy trends: the future of physician services. Health Aff. 2007;26:1586-1598.
56. Walker S, Mason AR, Claxton K, et al. Value for money and the quality and outcomes framework in primary care in the UK NHS. Br J Gen Pract. 2010;60:e213-e220.
57. NHS Employers. Quality and Outcomes Framework guidance for GMS contract 2013/14. 1-3-2013. The NHS Confederation (Employers) Company. http://www.nhsemployers.org/case-studies-and-resources/2013/03/quality-and-outcomes-framework-qof-for-201314. Accessed August 26, 2014.
58. Pomey MP, Martin E, Forest PG. Quebec's Family Medicine Groups: Innovation and Compromise in the Reform of Front. Can Polit Sci Rev. 2009;4:31-46.
59. Berenson RA, Hammons T, Gans DN, et al. A house is not a home: keeping patients at the center of practice redesign. Health Aff. 2008;27:1219-1230.
60. McMillan SS, Kendall E, Sav A, et al. Patient-centered approaches to health care: A systematic review of randomized controlled trials. Med Care Res Rev. 2013;6:567-596.
61. Stange KC, Nutting PA, Miller WL, et al. Defining and measuring the patientcentered medical home. J Gen Intern Med. 2010;25:601-612.
62. Taylor EF, Machta RM, Meyers DS, Genevro J, Peikes DN. Enhancing the primary care team to provide redesigned care: the roles of practice facilitators and care managers. Ann Fam Med. 2013;11:80-83.
63. British Columbia Pharmacy Association. British Columbia Pharmacy Association (BCPhA) Clinical Service Proposal Asthma Consultation Service. British Columbia: British Columbia Pharmacy (BCPhA); 2013.
64. Buckley KN, Ryder SA. Asthma management in the community pharmacy setting in Ireland. Int J Clin Pharm. 2012;34:186.
65. Monheit AC. Persistence in health expenditures in the short run: prevalence and consequences. Med Care. 2003;41:III53-III64.