Implementation of a Clinical Decision Support Tool for Postpartum Depression
Weill Medical College of Cornell University
Summary
This study will evaluate the use of an automated process in the electronic health record (EHR) that will help providers to detect patients at risk of developing postpartum depression (PPD).
Description
The goal of this randomized clinical trial is to assess the implementation of a clinical decision support (CDS) tool. The tool is designed to assist providers in managing patients at risk of developing of postpartum depression. Investigators hypothesize that this tool will be acceptable and feasible for use and improve the use of mental health services for postpartum depression. Patients in the control arm will receive usual care, while those in the intervention arm will receive CDS. Clinicians will manage patients per usual care, including initiating PPD preventive such as conducting refer…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * 18 years or older * being seen at one of participating clinics * pregnancy at 20 week gestation or more Exclusion Criteria: * Does not speak inclusion * does not have internet access Clinician eligibility: * If they manage patients in the three clinics as a board-certified OBGYN clinician. * No exclusion criteria apply for clinician based on their knowledge and experience in treating PPD
Interventions
- OtherClinical Decision Support Tool
The CDS in and AI algorithm that will alert clinicians only if patients have high risk of developing PPD, and provide clinicians with risk score, risk factors, and anticipatory actions with an order set to assist with ordering. Clinicians will make the ultimate clinical judgement after receiving CDS aid, including taking no actions towards PPD prevention. Clinicians will manage patients per usual care, including initiating PPD prevention such as conducting referrals to nutrition and behavioral health, suggest educational readings through patient portals, or no actions. Clinicians in the intervention arm will refer patients based on the CDS.
Locations (3)
- Center for Community Health: 515 6th street (3rd floor)Brooklyn, New York
- Ob GYN Lower Manhattan 156 William street, New York CityNew York, New York
- Weill Cornell Medicine- Women's Health practice 505 East 70th street, New York CityNew York, New York