CTN-0076-Ot: Clinical Decision Support for Opioid Use Disorders in Medical Settings: Pilot Usability Testing in an EMR (COMPUTE)

Gavin Bart, MD, PhD
Co-Lead Investigator

Minneapolis Medical Research Foundation
Hennepin County Medical Center

Rebecca Rossom, MD, MS
Co-Lead Investigator

HealthPartners Institute for Education & Research

The primary objective of this 2 year pilot study is to program opioid use disorder (OUD) clinical decision support (CDS) for use in an electronic medical record (EMR). The secondary objectives of this pilot study are to: 1) evaluate feasibility, usability, and acceptability with buprenorphine prescribing primary care providers during a 6-month pilot phase and 2) assess changes in readiness to identify and manage OUD, provider satisfaction with OUD CDS, and usage.

Primary Findings

The OUD-CDS was functional and accurate following extensive multi-phased testing. Fifty-five primary care providers (PCPs) participated. Buprenorphine-waivered PCPs (n = 8) were assigned to the intervention. Non-waivered PCPs (n = 47) were randomized to intervention (n = 24) or control (n = 23). Intervention PCPs received access to the OUD-CDS, which alerted them to patients at potentially increased risk for OUD or overdose and guided diagnosis and treatment. Control PCPs provided care as usual. PCPs used the OUD-CDS in 5% of encounters with at-risk patients, far less than the goal of 60%. OUD screening confidence increased for all intervention PCPs and OUD diagnosis increased for non-waivered intervention PCPs. Most PCPs (65%) would recommend the OUD-CDS and found it helpful with screening for OUD and discussing and prescribing OUD medications.

Primary Outcomes Article: Rossom RC, et al. A pilot study of the functionality and clinician acceptance of a clinical decision support tool to improve primary care of opioid use disorder. Addiction Science & Clinical Practice 2021;16:37. [get article]

    Node Involvement

    Lead Node(s):

  • Northstar Node

  • All Participating Nodes:

  • Northstar Node