NYU Langone Health
The overall objective of this proposal is to develop and optimize a CDSS, including several nudges, to increase guideline-concordant statin prescribing for CVD risk (Nudge-CVD-CDSS). Potential nudges will be developed, usability tested and refined and then evaluated in a factorial trial. The aim of this trial is to develop, based on a conceptual model of the prescribing process, a set of potential intervention components (EHR-nudges) to promote and support AHA/ACC guideline-concordant statin prescribing. A user-centered design process will be employed. EHR audit log data will be used to identify technical workflows of current provider prescribing patterns. Provider- and patient-directed default, peer comparison, and salient messaging nudges will be developed (5 total). Patient-directed nudges will encourage patients to prompt their providers to prescribe guideline-concordant statins.
Inclusion Criteria: Providers: 1\. Medical doctor, nurse practitioner, and physician assistants practicing at any NYULH Internal or Family Medicine practice. Patients: 1. Age 40-75 years old 2. Had a previous visit in the past 12 months with a provider at any NYULH Internal or Family Medicine practice. 3. Had blood pressure documented in the last 12 months 4. Had LDL results completed in the last 12 months 5. Has either a diagnosis of cardiovascular disease, LDL \> 190, or ASCVD risk score ≥ 20% Exclusion Criteria: Providers - N/A Patients: 1. Pregnant 2. Has allergy or contraindicatio…
A clinical decision support system (CDSS) inside of the electronic health record (EHR) to support and encourage providers to prescribe statins for at risk patients, in concordance with guidelines. EHR Nudges consist of 5 different nudges (A, B, C, D, E).
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