With the advancement of digital technologies, patients can easily collect their own health data outside of the clinical setting to track and manage their health. While these technologies are promising, many ambulatory care practices lack the technical infrastructure, functional workflows, workforce capacity, and training to support the intake and use of patient-generated health data (PGHD).
EHR-based Screening and Intervention for Intimate Partner Violence
Project Final Report (PDF, 1.48 MB) Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
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Project Details -
Completed
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Grant NumberR18 HS025654
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AHRQ Funded Amount$1,269,089
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Principal Investigator(s)
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Organization
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LocationCharlestonSouth Carolina
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Project Dates09/30/2018 - 07/31/2023
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Care Setting
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Population
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Type of Care
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Health Care Theme
Violence against women is a serious public health problem and a human rights issue. While the U.S. Preventive Services Task Force (USPTF) recommends intimate partner violence (IPV) screening for women of childbearing age, screening rates are low. Moreover, IPV screening has not been shown to increase rates of referral for IPV counseling or improve health outcomes. Limited effectiveness of IPV screening programs may be due to a lack of system-level changes to fully support women experiencing IPV.
This project will design, implement, and evaluate a comprehensive set of tools in an electronic health record (EHR) to support improved IPV care. The intervention includes self-reported questionnaires embedded in the EHR, clinical decision support for IPV screening and detection, telehealth referrals to national IPV counseling services, and EHR modifications to support billing for IPV services. The project team will test the intervention with a randomized controlled trial at 28 primary care clinics at the Medical University of South Carolina (MUSC). The impact of the intervention will be measured by comparing rates of IPV diagnosis and referral to counseling services for the intervention versus usual care conditions. Provider productivity and reimbursements will also be assessed.
The specific aims of this project are as follows:
- To create a replicable systematic process using an EHR for screening patients for IPV, detecting those at risk, and facilitating their referral and entry into counseling.
- To deploy and test the automated system for IPV care in MUSC primary care and women’s health clinics.
The team hypothesizes that the intervention will reduce barriers to IPV services and increase referral rates. If effective, the IPV tools may be scaled to all patients served by the EHR.
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Citation:
Lenert L., Rheingold, A. EHR-based Screening and Intervention for Intimate Partner Violence – Final Report. (Prepared by Medical University of South Carolina under Grant No. R18 HS025654). Rockville, MD: Agency for Healthcare Research and Quality, 2023.
Link:
PDF (1.48 MB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator:
Lenert, Leslie A., Rheingold, Alyssa Ann
Document Type:
Report
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