Rebecca C Rossom1,2, JoAnn M Sperl-Hillen3, Patrick J O'Connor3, A Lauren Crain3, Laurel Nightingale3, Anne Pylkas4,5, Kristen V Huntley6, Gavin Bart7,8. 1. HealthPartners Institute, Minneapolis, MN, USA. Rebecca.C.Rossom@HealthPartners.com. 2. University of Minnesota School of Medicine, Minneapolis, MN, USA. Rebecca.C.Rossom@HealthPartners.com. 3. HealthPartners Institute, Minneapolis, MN, USA. 4. HealthPartners Medical Group, Minneapolis, MN, USA. 5. Sage Prairie Clinic, Eagan, MN, USA. 6. Center for the Clinical Trials Network, National Institute on Drug Abuse, Bethesda, MA, USA. 7. University of Minnesota School of Medicine, Minneapolis, MN, USA. 8. Hennepin Healthcare, Minneapolis, MN, USA.
Abstract
OBJECTIVE:Most Americans with opioid use disorder (OUD) do not receive indicated medical care. A clinical decision support (CDS) tool for primary care providers (PCPs) could address this treatment gap. Our primary objective was to build OUD-CDS tool and demonstrate its functionality and accuracy. Secondary objectives were to achieve high use and approval rates and improve PCP confidence in diagnosing and treating OUD. METHODS:A convenience sample of 55 PCPs participated. Buprenorphine-waivered PCPs (n = 8) were assigned to the intervention. Non-waivered PCPs (n = 47) were randomized to intervention (n = 24) or control (n = 23). Intervention PCPs received access to the OUD-CDS, which alerted them to patients at potentially increased risk for OUD or overdose and guided diagnosis and treatment. Control PCPs provided care as usual. RESULTS: The OUD-CDS was functional and accurate following extensive multi-phased testing. PCPs used the OUD-CDS in 5% of encounters with at-risk patients, far less than the goal of 60%. OUD screening confidence increased for all intervention PCPs and OUD diagnosis increased for non-waivered intervention PCPs. Most PCPs (65%) would recommend the OUD-CDS and found it helpful with screening for OUD and discussing and prescribing OUD medications. DISCUSSION: PCPs generally liked the OUD-CDS, but use rates were low, suggesting the need to modify CDS design, implementation strategies and integration with existing primary care workflows. CONCLUSION: The OUD-CDS tool was functional and accurate, but PCP use rates were low. Despite low use, the OUD-CDS improved confidence in OUD screening, diagnosis and use of buprenorphine. NIH Trial registration NCT03559179. Date of registration: 06/18/2018. URL: https://clinicaltrials.gov/ct2/show/NCT03559179.
RCT Entities:
OBJECTIVE: Most Americans with opioid use disorder (OUD) do not receive indicated medical care. A clinical decision support (CDS) tool for primary care providers (PCPs) could address this treatment gap. Our primary objective was to build OUD-CDS tool and demonstrate its functionality and accuracy. Secondary objectives were to achieve high use and approval rates and improve PCP confidence in diagnosing and treating OUD. METHODS: A convenience sample of 55 PCPs participated. Buprenorphine-waivered PCPs (n = 8) were assigned to the intervention. Non-waivered PCPs (n = 47) were randomized to intervention (n = 24) or control (n = 23). Intervention PCPs received access to the OUD-CDS, which alerted them to patients at potentially increased risk for OUD or overdose and guided diagnosis and treatment. Control PCPs provided care as usual. RESULTS: The OUD-CDS was functional and accurate following extensive multi-phased testing. PCPs used the OUD-CDS in 5% of encounters with at-risk patients, far less than the goal of 60%. OUD screening confidence increased for all intervention PCPs and OUD diagnosis increased for non-waivered intervention PCPs. Most PCPs (65%) would recommend the OUD-CDS and found it helpful with screening for OUD and discussing and prescribing OUD medications. DISCUSSION: PCPs generally liked the OUD-CDS, but use rates were low, suggesting the need to modify CDS design, implementation strategies and integration with existing primary care workflows. CONCLUSION: The OUD-CDS tool was functional and accurate, but PCP use rates were low. Despite low use, the OUD-CDS improved confidence in OUD screening, diagnosis and use of buprenorphine. NIH Trial registration NCT03559179. Date of registration: 06/18/2018. URL: https://clinicaltrials.gov/ct2/show/NCT03559179.
Entities:
Keywords:
Clinical decision support; Opioid use disorder; Primary care
Authors: Leif I Solberg; Stephanie A Hooker; Rebecca C Rossom; Anna Bergdall; Benjamin F Crabtree Journal: J Am Board Fam Med Date: 2021 Nov-Dec Impact factor: 2.657