Active vs. passive choice framing to increase statin prescribing among cardiologists

Opportunity

Cardiovascular disease is the leading cause of morbidity and mortality in the United States. Statins are effective medications for reducing the risk of cardiovascular events. However, many patients who meet evidence-based guidelines are not receiving appropriate statin therapy.

Approach

We designed a randomized clinical trial to test active vs. passive choice framing in the electronic health record (EHR) to cardiologists. Active choice framing uses alerts in the EHR that block clinician workflow until a decision is made. Passive choice framing enables a cardiologist to open a decision-making choice set to check if a patient’s therapy needs to be adjusted.

Impact

This intervention will be implemented at Penn Medicine in 2018.

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