Contact email

amostaghimi@bwh.harvard.edu

Overview

An algorithm-based electronic decision support tool for acne-related dermatology referral was implemented in Epic at BWH, resulting in decreased rates of acne-related referrals to dermatology and greater likelihood of acne treatment initiation by the primary care clinician.

Department

Dermatology; Medicine

Division

General Internal Medicine

Collaborators

David Li, MD MBA; Ashley Pournamdari, BS: Kristina Liu MD MHS; Karl Laskowski MD MBA; Cara Joyce PhD; Arash Mostaghimi MD MPH MPA

Status/Stage of Development

Ongoing program

Funding Sources

NIH, National Center for Advancing Translational Sciences
Brigham and Women's Physician Organization Brigham Care Redesign Incubator and Startup Program

Measurement

Treatment modification by referring primary care clinicians

Results

35/260 patients (13.5%) initially referred to dermatology for acne had referral order cancelled after decision support popup notification. 51/260 patients (19.6%) were initiated on treatment by their primary care clinician.

Major Project Needs

• Funding
• Collaborators

Tools or Products Developed

Sources

Li DG, Pournamdari AB, Liu KJ, Laskowski K, Joyce C, Mostaghimi A. Evaluation of Point-of-Care Decision Support for Adult Acne Treatment by Primary Care Clinicians. JAMA Dermatol. 2020 Mar 4. doi: 10.1001/jamadermatol.2020.0135.