Methods: Providers were initially surveyed and educated about current screening guidelines. 4 months of historical screening data were obtained. The intervention involved the addition of an HIV screen alert to the existing Generic Disease Management System (GDMS) to remind providers to screen eligible patients for HIV. GDMS is an electronic clinical decision support tool designed by our institution, used to remind providers about recommended preventative services, including mammography, pap smear and colonoscopy. 6 months later, a post intervention survey was distributed to providers. Pre-intervention and post-intervention screening data were obtained from 1/1/14-4/30/14 and 5/1/14-12/31/14 respectively.
Results: Of 148 providers surveyed, 64% of 68 providers responding did not screen all eligible patients for HIV; the most common reason cited was that they did not remember to discuss screening (52%). 25% of providers did not believe in screening "low risk" patients. There were 28036 appointments for 12596 unique patients eligible for HIV screening in 2014. 6070 and 6526 patients were seen prior to and after the GDMS alert intervention respectively. In total, 327 patients were screened for HIV in 2014. 1.80% of eligible patients (18.0 per 1000 patient encounters) were screened prior to the GDMS alert intervention, and 3.34% of eligible patients (27.1 per 1000 patient encounters) were screened after the intervention. 31% of 36 providers responding to a post-intervention survey did not change their practice, but 72% indicated that they would be more likely to screen if the recommendation was viewable to patients also.
Conclusion: This data showed that an electronic alert successfully improved by two-fold the rates of universal HIV screening by providers in primary care internal medicine.
A. Marcelin, None
M. Scheitel, None
P. Ramu, None
R. Hankey, None
P. Keniya, None
M. Wingo, None
S. Rizza, None
F. North, None
R. Chaudhry, Mayo Clinic: Dr Chaudhry is an employee of Mayo Clinic and the inventor of GDMS software referenced in this abstract. , Mayo Clinic has licensed this technology to a commercial entity (VitalHealth Software) but to date has received no royalties. Dr Chaudhry receives no royalties from the licensing of this technology
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