Computerized condition-specific templates for improving care of geriatric syndromes in a primary care setting.
BACKGROUND
As the U.S. population ages, primary care clinicians (PCCs) will encounter more patients with geriatric syndromes, such as urinary incontinence (UI) and falls. Yet, current evidence suggests that care of these conditions does not meet expected standards and that PCCs would benefit from tools to improve care of these conditions. Little is known about the role of computerized condition-specific templates for improving care of geriatric syndromes.


OBJECTIVE
We sought to develop and assess the usefulness of condition-specific computerized templates in a primary care setting.


METHODS
A large academic Veterans Affairs medical center.


METHODS
We developed and tested the usefulness of 2 condition-specific computerized templates (UI and falls) that could be added on to an existing electronic health record system.


RESULTS
Semistructured interviews were used to identify barriers to use of computerized templates. Usefulness and usability were assessed through a randomized-controlled trial involving standardized patients.


CONCLUSIONS
Use of condition-specific templates resulted in improved history and physical exam assessment for both UI and falls (P < .05). Our computerized, condition-specific templates are a promising method for improving care of geriatric conditions in a primary care setting, but require improvement in usability before widespread implementation.
Fung
Constance H
CH
VA Greater Los Angeles Healthcare System, Division of General Internal Medicine, David Geffen School of Medicine at UCLA, RAND Corporation, Los Angeles, CA, USA. cfung@rand.org
D000046:Academic Medical Centers; D000058:Accidental Falls; D000368:Aged; D003936:Diagnosis, Computer-Assisted; D006751:Hospital Information Systems; D006787:Hospitals, Veterans; D006801:Humans; D011320:Primary Health Care / Q000592:standards*; D016032:Randomized Controlled Trials as Topic; D014549:Urinary Incontinence / Q000175:diagnosis*