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EHR-based Clinician Jumpstart for Chronic Disease (PICSI-H Trial)
N/A
Waitlist Available
Led By J. Randall Curtis, MD, MPH
Research Sponsored by University of Washington
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 months after completion of trial
Awards & highlights
PICSI-H Trial Summary
This trial will test the effectiveness of an EHR-based intervention to improve quality of palliative care for patients with chronic, life-limiting illness, with a particular emphasis on Alzheimer's disease and related dementias.
Eligible Conditions
- Chronic Disease
- Patient Care
- Inpatient
- Health Communication
- Cancer
- Lung Cancer
- Health Care Quality, Access, and Evaluation
- Dementia
- Palliative Care
- Diabetes
- Patient Care Planning
- Interstitial Lung Disease
- Chronic Obstructive Pulmonary Disease
- Congestive Heart Failure
- Liver Cirrhosis
- Chronic Kidney Failure
- Peripheral Vascular Disease
PICSI-H Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 3 months after randomization
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 months after randomization
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Proportion of Patients With EHR Documentation of Goals of Care Discussions
Secondary outcome measures
All-cause Mortality at 1 Year (Safety Outcome)
Intensity of Care/Hospital Use: Hospital Length of Stay
Intensity of Care/ICU Use: ICU Admissions
+4 moreOther outcome measures
Key Implementation Factors
Key Implementation Factors (Qualitative)
Key Implementation Factors (Quantitative)
PICSI-H Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: EHR-based Clinician JumpstartExperimental Treatment1 Intervention
The EHR-based Jumpstart Guide will be developed by extracting data from the EHR using automated methods with both inpatient and outpatient notes (e.g., progress notes, specialty consult notes, alerts and care plans) preceding the current hospitalization. It will summarize the presence/absence of POLST, advance directives and DPOA documentation and patients' code status.
Group II: Usual CareActive Control1 Intervention
The clinicians (hospital teams) for patients in the control group will not receive Jumpstart guides. These subjects will receive usual care.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
EHR-based Clinician Jumpstart
2020
N/A
~2520
Find a Location
Who is running the clinical trial?
National Institute on Aging (NIA)NIH
1,669 Previous Clinical Trials
28,002,602 Total Patients Enrolled
13 Trials studying Chronic Disease
250,100 Patients Enrolled for Chronic Disease
University of WashingtonLead Sponsor
1,738 Previous Clinical Trials
1,841,839 Total Patients Enrolled
9 Trials studying Chronic Disease
12,805 Patients Enrolled for Chronic Disease
J. Randall Curtis, MD, MPHPrincipal Investigator - University of Washington
Texas Health Harris Methodist Hospital Southwest Fort Worth
Medical School - University of Texas, San Antonio, Doctor of Medicine
University of Texas, Tyler, Residency in Family Practice
7 Previous Clinical Trials
12,716 Total Patients Enrolled
3 Trials studying Chronic Disease
2,389 Patients Enrolled for Chronic Disease
Frequently Asked Questions
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