At a glance
ClinicalIndex Comparison Record- ✓VA-employed physician, PA, or CRNP serving as a CBOC provider
- ✓All such providers are offered the opportunity to participate with voluntary agreement
- ✕No healthcare providers are excluded based on role or employment status
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
MI-Plus: Web-enhanced Guideline Implementation for Post MI CBOC Patients
In Brief
A clinical study evaluating VA MI Plus Interactive for Myocardial Infarction and Comorbidity. Completed, enrolled 847 participants across 41 sites in 2 countries.
Detailed Summary
To assist busy primary care clinicians in VA Community Based Outpatient Clinics (CBOCs) in managing complex patients by providing a single, interactive, and personalized source of information regarding applicable guidelines for post-MI patients. Specifically, 1) the investigators will identify barriers to provider adherence to guidelines within VHA clinics; 2) Apply guideline-based performance measures to electronic medical records (CPRS) and associated administrative data; 3) Implement the interactive Internet intervention developed by the NHLBI study, after inclusion of VA-specific components, including performance feedback for CBOC clinicians; and 4) Test hypotheses on the intervention's effectiveness, sustainability, and cost-effectiveness in both the VA and Medicare populations. This will include a randomized controlled trial with the CBOC as a unit of randomization.
Study Details
Timeline
Interventions
The experimental intervention, customized to the individual clinician in real-time consists of Internet learning modules integrating case-based education with audit, feedback, and benchmarking of practice profiles.