JoAnn M. Sperl‐Hillen
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View article: Design and protocol of a pragmatic clinical trial to improve cognitive impairment detection in primary care
Design and protocol of a pragmatic clinical trial to improve cognitive impairment detection in primary care Open
This pragmatic, cluster-randomized, Phase III clinical trial aims to assess the effectiveness of a CDSS in increasing detection of CI in primary care. If successful, this system could provide up-to-date personalized recommendations for CI …
View article: Blood Pressure Medication Side Effect Symptoms and Patient Treatment Satisfaction and Adherence
Blood Pressure Medication Side Effect Symptoms and Patient Treatment Satisfaction and Adherence Open
gov NCT02996565.
View article: Clinical Decision Support and Cardiometabolic Medication Adherence
Clinical Decision Support and Cardiometabolic Medication Adherence Open
Importance Medication adherence is important for managing blood pressure (BP), low-density lipoprotein cholesterol (LDL-C), and hemoglobin A 1c (HbA 1c ). Interventions to improve medication adherence are needed. Objective To examine the e…
View article: A CKD Clinical Decision Support System: A Cluster Randomized Clinical Trial in Primary Care Clinics
A CKD Clinical Decision Support System: A Cluster Randomized Clinical Trial in Primary Care Clinics Open
clinicaltrials.gov Identifier: NCT03890588.
View article: Does Clinical Decision Support Increase Appropriate Medication Prescribing for Cardiovascular Risk Reduction?
Does Clinical Decision Support Increase Appropriate Medication Prescribing for Cardiovascular Risk Reduction? Open
ClinicalTrials.gov, NCT03001713, https://clinicaltrials.gov/.
View article: Differential Effects of an Intervention to Reduce Cardiovascular Risk for Patients With Bipolar Disorder, Schizoaffective Disorder, or Schizophrenia
Differential Effects of an Intervention to Reduce Cardiovascular Risk for Patients With Bipolar Disorder, Schizoaffective Disorder, or Schizophrenia Open
Trial Registration: ClinicalTrials.gov Identifier: NCT02451670.
View article: Adoption of shared decision-making and clinical decision support for reducing cardiovascular disease risk in community health centers
Adoption of shared decision-making and clinical decision support for reducing cardiovascular disease risk in community health centers Open
Objective Electronic health record (EHR)-based shared decision-making (SDM) and clinical decision support (CDS) systems can improve cardiovascular disease (CVD) care quality and risk factor management. Use of the CV Wizard system showed a …
View article: Clinician perceptions of a clinical decision support system to reduce cardiovascular risk among prediabetes patients in a predominantly rural healthcare system
Clinician perceptions of a clinical decision support system to reduce cardiovascular risk among prediabetes patients in a predominantly rural healthcare system Open
Background The early detection and management of uncontrolled cardiovascular risk factors among prediabetes patients can prevent cardiovascular disease (CVD). Prediabetes increases the risk of CVD, which is a leading cause of death in the …
View article: Comparing Pharmacist-Led Telehealth Care and Clinic-Based Care for Uncontrolled High Blood Pressure: The Hyperlink 3 Pragmatic Cluster-Randomized Trial
Comparing Pharmacist-Led Telehealth Care and Clinic-Based Care for Uncontrolled High Blood Pressure: The Hyperlink 3 Pragmatic Cluster-Randomized Trial Open
Background: A team approach is one of the most effective ways to lower blood pressure (BP) in uncontrolled hypertension, but different models for organizing team-based care have not been compared directly. Methods: A pragmatic, cluster-ran…
View article: Bolstering the Business Case for Adoption of Shared Decision-Making Systems in Primary Care: Randomized Controlled Trial
Bolstering the Business Case for Adoption of Shared Decision-Making Systems in Primary Care: Randomized Controlled Trial Open
Background Limited budgets may often constrain the ability of health care delivery systems to adopt shared decision-making (SDM) systems designed to improve clinical encounters with patients and quality of care. Objective This study aimed …
View article: Association of an Automated Blood Pressure Measurement Quality Improvement Program With Terminal Digit Preference and Recorded Mean Blood Pressure in 11 Clinics
Association of an Automated Blood Pressure Measurement Quality Improvement Program With Terminal Digit Preference and Recorded Mean Blood Pressure in 11 Clinics Open
In this quality improvement study, automated BP measurement was associated with decreased terminal digit preference and significantly higher mean BP levels. The method of BP measurement was also associated with the rate at which hypertensi…
View article: Impact of the COVID-19 Pandemic on Type 2 Diabetes Care Delivery
Impact of the COVID-19 Pandemic on Type 2 Diabetes Care Delivery Open
The coronavirus disease 2019 (COVID-19) pandemic instigated major changes in care delivery, but our understanding of how the rapid transition from in-person to telehealth encounters affected the care of patients with chronic conditions suc…
View article: Cardiovascular Risk for Patients With and Without Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder
Cardiovascular Risk for Patients With and Without Schizophrenia, Schizoaffective Disorder, or Bipolar Disorder Open
Background To compare estimated 10‐year and 30‐year cardiovascular risk in primary care patients with and without serious mental illness (SMI; bipolar disorder, schizophrenia, or schizoaffective disorder). Methods and Results All patients …
View article: Effect of Clinical Decision Support on Cardiovascular Risk Among Adults With Bipolar Disorder, Schizoaffective Disorder, or Schizophrenia
Effect of Clinical Decision Support on Cardiovascular Risk Among Adults With Bipolar Disorder, Schizoaffective Disorder, or Schizophrenia Open
ClinicalTrials.gov Identifier: NCT02451670.
View article: Effect of Clinical Decision Support at Community Health Centers on the Risk of Cardiovascular Disease
Effect of Clinical Decision Support at Community Health Centers on the Risk of Cardiovascular Disease Open
ClinicalTrials.gov Identifier: NCT03001713.
View article: Human Papillomavirus vaccination clinical decision support for young adults in an upper midwestern healthcare system: a clinic cluster-randomized control trial
Human Papillomavirus vaccination clinical decision support for young adults in an upper midwestern healthcare system: a clinic cluster-randomized control trial Open
clinicaltrials.gov NCT02986230, 12/6/2016.
View article: Primary care clinicians’ opinions before and after implementation of cancer screening and prevention clinical decision support in a clinic cluster-randomized control trial: a survey research study
Primary care clinicians’ opinions before and after implementation of cancer screening and prevention clinical decision support in a clinic cluster-randomized control trial: a survey research study Open
Background Electronic health record (EHR)-linked clinical decision support (CDS) may impact primary care clinicians’ (PCCs’) clinical care opinions. As part of a clinic cluster-randomized control trial (RCT) testing a cancer prevention and…
View article: Experiences and Perceptions of Patients with Uncontrolled Hypertension Who are Dissatisfied with Their Hypertension Care
Experiences and Perceptions of Patients with Uncontrolled Hypertension Who are Dissatisfied with Their Hypertension Care Open
Many patients with uncontrolled hypertension are dissatisfied with their care, but that is associated with different problems for different people. Identifying and attending to these problems may provide opportunities to help them achieve …
View article: Patient Perceptions of Using Clinical Decision Support for Cancer Screening and Prevention: “I wouldn’t have thought about getting screened without it.”
Patient Perceptions of Using Clinical Decision Support for Cancer Screening and Prevention: “I wouldn’t have thought about getting screened without it.” Open
Learning about patients' perceptions of a CDS tool may increase understanding of how patient-tailored CDS impacts cancer screening and prevention rates. Participants found a personalized CDS tool for cancer screening and prevention in prim…
View article: The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey
The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey Open
Background Few studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients’ perceptions of cancer screening or prevention in primary care settings. This cross-secti…
View article: A pilot study of the functionality and clinician acceptance of a clinical decision support tool to improve primary care of opioid use disorder
A pilot study of the functionality and clinician acceptance of a clinical decision support tool to improve primary care of opioid use disorder Open
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 OU…
View article: Abstracts From the 2021 Health Care Systems Research Network Annual Conference
Abstracts From the 2021 Health Care Systems Research Network Annual Conference Open
The Health Care Systems Research Network (HCSRN) is comprised of 19 not-for-profit health systems with embedded research departments. The network's annual conference serves as a forum for member institutions to highlight research findings,…