The purpose of this study is to determine whether alerts independent of the ambulatory
health record are more effective in eliciting physician responses and therefore have greater
impact on HIV disease outcomes than traditional static alerts.
This study will compare the effectiveness of standard and enhanced care alerts in HIV
infected participants at Massachusetts General Hospital in Boston, Massachusetts.
Participants will be a part of this study for 4 years or until they are no longer followed
at Massachusetts General Hospital. Participants will be assigned randomly to one of two
arms. Participants assigned to Arm 1 will receive standard care, involving standard provider
alerts which will be posted on the participant's health record. Participants assigned to Arm
2 will receive enhanced care, involving improved functionality. Experimental
informatics-based provider alerts and support systems will be used to develop a pilot system
designed to optimize delivery of HIV clinical care.
All participants will be monitored for new laboratory toxicities, suboptimal follow up, and
virologic failure at their normally scheduled appointments.
- HIV infected
- Followed in the Massachusetts General Hospital HIV clinic.