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Table 5 Provider perceptions of CDS Wizard to manage CV risk of patients at high risk of cardiovascular disease or diabetes

From: Clinician perceptions of a clinical decision support system to reduce cardiovascular risk among prediabetes patients in a predominantly rural healthcare system

Response

Measure

 

Post-implementation

n (%)

78 (100)

1–4

Agree

The Wizard is a tool that helps improve risk factor control of my patients at high risk of diabetes or cardiovascular disease, n (% agree) a

44 (73.3)

1–4

Agree

The Wizard saves me time talking about preventing diabetes with my patients, n (% agree) a

25 (41.7)

1–4

Agree

The Wizard saves me time talking about cardiovascular risk reduction with my patients, n (% agree) a

24 (40.0)

1–4

Agree

The Wizard increases the duration of the appointments with my patients, n (% agree) a

32 (53.3)

1–4

Agree

The Wizard adds value to my patient clinic visits, n (% agree)a

40 (67.8)

1–4

Well

How well do you understand which clinical conditions cause Wizard to prompt your rooming staff to print the patient and provider displays for a given visit? n (% agree)b

21 (35.0)

1–4

Useful

When you use the Wizard, how useful do you find the 10-year ASCVD risk score? n (% agree)c

43 (78.2)

0–100%

Percent of the time

When patient has elevated CV reversible risk, what percent of time do you use the Wizard information to help care for your patient? n (% used Wizard ≥ 50% of the time)d

25 (41.7)

0–100%

Percent of the time

When the Wizard is printed for your patient, what percent of the time do you give them the provider version to review and/or take home? n (% used Wizard ≥ 50% of the time)d

16 (31.4)

1–4

Useful

The Wizard smoking domain is useful in supporting/guiding your clinical decisions with patients, n (% useful)c

25 (46.3)

1–4

Useful

The Wizard blood pressure domain is useful in supporting/guiding your clinical decisions with patients, n (% useful)c

27 (50.0)

1–4

Useful

The Wizard glucose level domain is useful in supporting/guiding your clinical decisions with patients, n (% useful)c

24 (46.2)

1–4

Useful

The Wizard lipid level domain is useful in supporting/guiding your clinical decisions with patients, n (% useful)c

27 (50.9)

1–4

Useful

The Wizard weight domain is useful in supporting/guiding your clinical decisions with patients, n (% useful)c

22 (41.5)

1–4

Useful

The Wizard aspirin use domain is useful in supporting/guiding your clinical decisions with patients, n (% useful)c

22 (41.5)

1–4

Useful

The Wizard smoking domain is useful in getting patients to take action, n (% useful)c

8 (15.7)

1–4

Useful

The Wizard blood pressure domain is useful in getting patients to take action, n (% useful)c

16 (31.4)

1–4

Useful

The Wizard glucose level domain is useful in getting patients to take action, n (% useful)c

15 (29.4)

1–4

Useful

The Wizard lipid level domain is useful in getting patients to take action, n (% useful)c

17 (33.3)

1–4

Useful

The Wizard weight domain is useful in getting patients to take action, n (% useful)c

10 (19.6)

1–4

Useful

The Wizard aspirin domain is useful in getting patients to take action, n (% useful)c

16 (31.4)

1–4

Satisfied

How satisfied are you with the Wizard? n (% satisfied)b

23 (38.3)

Y/N

 

I would recommend the Wizard to my colleagues, n (% yes)e

38 (71.7)

  1. aPercentages calculated by combining agree and strongly agree responses from four-point scale (strongly agree, agree, disagree, strongly disagree)
  2. bPercentages calculated by combining very and extremely responses from four-point scale (not at all, somewhat, very, extremely)
  3. cPercentages calculated by combining very useful and extremely useful responses from four-point scale (not at all useful, somewhat useful, very useful, extremely useful)
  4. dPercentages calculated by combining 50–100% responses from 10%-increment 0–100% scale (0, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100)
  5. ePercentages calculated reflects all yes responses from yes–no response options