Adapting a pneumonia care tool for urgent care clinics in Utah

Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for Care of Pneumonia Patients in 10 Utah Urgent Care Centers

This study is testing a new tool to help urgent care clinics in Utah quickly and accurately diagnose and treat pneumonia using AI to analyze chest images.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 4000 (estimated)
• Ages: 12 Years and up
• Sex: All
• Sponsor: Intermountain Health Care, Inc. (Academic / other)
• Locations: 12 sites (American Fork, Utah and 11 other locations)
• Trial ID: NCT04606849 on ClinicalTrials.gov

What this trial studies

This project aims to adapt a validated clinical decision support tool for pneumonia care, originally designed for emergency departments, to function effectively in urgent care clinics. The adaptation will incorporate an artificial intelligence model for rapid chest image analysis and will be tested among selected clinicians in Utah's Instacare facilities. The implementation will follow best practices from the CFIR framework to ensure usability and effectiveness in a real-world setting. The goal is to enhance the diagnosis and treatment of pneumonia in ambulatory care settings, especially as the COVID-19 pandemic evolves.

Who should consider this trial

Good fit: Ideal candidates for this study are patients aged 12 and older who have pneumonia confirmed by radiographic imaging.

Not a fit: Patients without radiographic confirmation of pneumonia or those experiencing recurrent pneumonia episodes within the last 12 months may not benefit from this study.

Why it matters

Potential benefit: If successful, this tool could significantly improve the accuracy and speed of pneumonia diagnosis and treatment in urgent care settings.

How similar studies have performed: Other studies have shown success in adapting clinical decision support tools for different healthcare settings, indicating a promising approach for this adaptation.

Eligibility criteria

Inclusion Criteria:

* All patients ≥ 12 years of age with pneumonia: defined by the J-18.X pneumonia code or acute respiratory failure or sepsis with secondary pneumonia codes

Survey All physicians and advanced practice clinicians who are employed and actively seeing patients in the 4 Utah Valley Instacares

Exclusion Criteria:

* Patients without radiographic confirmation of pneumonia
* Subsequent episodes of pneumonia within 12 months (so as not to over-represent patients with recurrent pneumonia caused by recurrent aspiration or structural lung disease).

Survey No providers will be excluded from the survey invitation

Where this trial is running

American Fork, Utah and 11 other locations

• American Fork Instacare — American Fork, Utah, United States (Recruiting)
• Layton Instacare — Layton, Utah, United States (Recruiting)
• Lehi Instacare — Lehi, Utah, United States (Recruiting)
• Intermountain Medical Center — Murray, Utah, United States (Not_yet_recruiting)
• North Ogden Instacare — North Ogden, Utah, United States (Not_yet_recruiting)
• North Orem Instacare — Orem, Utah, United States (Not_yet_recruiting)
• Utah Valley Instacare — Provo, Utah, United States (Recruiting)
• Herefordshire Instacare — Roy, Utah, United States (Not_yet_recruiting)
• Saratoga Springs Instacare — Saratoga Springs, Utah, United States (Recruiting)
• South Ogden Instacare — South Ogden, Utah, United States (Not_yet_recruiting)
• Spanish Fork Instacare — Spanish Fork, Utah, United States (Recruiting)
• Springville Instacare — Springville, Utah, United States (Not_yet_recruiting)

Study contacts

• Principal investigator: Nathan Dean, MD — Intermountain Health Care, Inc.
• Study coordinator: Valerie Aston

Conditions Pneumonia