Author + information
- Siqin Ye,
- Aaron Leppin,
- Amy Chan,
- Nancy Chang,
- Nathalie Moise,
- Victor Montori and
- Ian Kronish
Background: Shared decision-making (SDM) for primary prevention statin therapy is recommended by guidelines but remains underused. Novel informatics approaches to integrating decision aids into the electronic health records (EHR) may improve this gap.
Methods: We designed a single-click EHR tool that automates the calculation of 10-year ASCVD risk and populates the Statin Choice decision aid. Using pre-post surveys, we assessed the effect of deploying the tool at academic hospital-based primary care clinics on provider knowledge, usage, and perceived importance of SDM for primary prevention statin therapy. We also compared 3-months web traffic to the Statin Choice website before and after tool deployment.
Results: Pre-post surveys were completed by 60 primary care providers (24 (40%) attending physicians; 36 (60%) residents). After deployment of the EHR tool, respondents felt more knowledgeable about the Statin Choice decision aid (p<0.001), more competent regarding SDM (p=0.047), and reported being more likely to use decision aids for statin initiation (p=0.043). There was no significant change in the perceived importance of SDM as measured through a SDM belief scale (p=0.35). Web-based usage rates for the Statin Choice decision aid increased from 3.4 to 5.2 per 1000 patient-visits (p=0.002).
Conclusions: EHR integration of decision aids can be an effective approach to promote SDM and increase the usage of decision aids for statin initiation.
Poster Hall, Hall C
Saturday, March 18, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Innovations in Cardiovascular Risk Assessment and Reduction
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1235-067
- 2017 American College of Cardiology Foundation