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Adaptation and Pilot Implementation of ePNa Clinical Decision Support for Utah Urgent Care Clinics
Sponsor: Intermountain Health Care, Inc.
Summary
We plan to adapt an innovative, validated emergency department (ED) CDS tool based on consensus guidelines for pneumonia care (ePNa) to function in urgent care clinics (Instacares at Intermountain) and combine it seamlessly with Stanford's CheXED artificial intelligence model using an interoperable platform currently under development by Care Transformation Information Services at Intermountain. We will then deploy it to one of two groups of Instacares (randomly selected) using the CFIR framework for Implementation Science best practice.
Official title: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for Care of Pneumonia Patients in 10 Utah Urgent Care Centers
Key Details
Gender
All
Age Range
12 Years - Any
Study Type
INTERVENTIONAL
Enrollment
4000
Start Date
2020-11-12
Completion Date
2024-09-30
Last Updated
2024-08-26
Healthy Volunteers
Yes
Conditions
Interventions
Physician Survey
Our questionnaire includes questions on respondent demographics and Likert-style questions about respondent experiences with ePNa. We will validate our modified questionnaire by calculating component loadings and Cronbach Alphas (i.e., internal consistency) of Likert questions loading onto the same components.
ePNa-CheXED
ePNa-CheXED will incorporate Stanford University's artificial intelligence CheXED model to provide electronic classification of chest images in \<1 second for elements of pneumonia diagnosis and treatment (radiographic pneumonia, single vs multiple lobes, and pleural effusion).
Locations (12)
American Fork Instacare
American Fork, Utah, United States
Layton Instacare
Layton, Utah, United States
Lehi Instacare
Lehi, Utah, United States
Intermountain Medical Center
Murray, Utah, United States
North Ogden Instacare
North Ogden, Utah, United States
North Orem Instacare
Orem, Utah, United States
Utah Valley Instacare
Provo, Utah, United States
Herefordshire Instacare
Roy, Utah, United States
Saratoga Springs Instacare
Saratoga Springs, Utah, United States
South Ogden Instacare
South Ogden, Utah, United States
Spanish Fork Instacare
Spanish Fork, Utah, United States
Springville Instacare
Springville, Utah, United States