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Not yet recruitingNCT06008314ePNa-EpicUpdated Sep 28, 2023

Pilot Deployment of ePNa Into Epic EHR

An interventional study of ePNa in Pneumonia, sponsored by Nathan Dean. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-09-28.

Sponsored by Nathan Dean · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 3 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
6,917
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

Intermountain Health has developed a electronic decision support tool to help doctors provide the best care for pneumonia. The purpose of this study is to enhance the existing tool (called ePneumonia (electronic Pneumonia) or ePNa) so that it can be used at other institutions, and to test deployment of the tool at another institution's hospitals.

Read the detailed description

This study as funded by the AHRQ (Agency for Healthcare Research and Quality) involves making the current ePNa system a "SMART on FHIR" compatible application that will enable the same core software and processes to work across the Cerner and Epic electronic health record platforms. The investigators will then engage with emergency department providers and patients to improve user centered design, considering clinician preferences and feedback for use as well as patient needs for information. Finally, the investigators will evaluate the feasibility and acceptability via a pilot implementation trial of the interoperable ePNa platform at two Vanderbilt affiliated hospitals.

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Conditions studied

  • Pneumonia

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Keywords

  • Decision Support
03

In context

Pneumonia

2,045 studies on the registry are indexed under Pneumonia; 284 are open to participants now.

This study's planned enrollment of 6,917 is above the median of 106 across 1,247 interventional studies indexed under Pneumonia.

Browse Pneumonia studies →

Lead sponsor

This is the only study on the registry with Nathan Dean as lead sponsor.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

For the baseline database and assessment of clinical outcomes, all data will be pulled from the Epic Clarity data warehouse.

  • 2500 patients that presented to the Vanderbilt and Wilson county EDs who are >= 18 years old will be identified by ICD-10 codes for pneumonia or acute respiratory failure or sepsis with secondary pneumonia codes for the baseline database.
  • An additional 2500 patients that presented to the Vanderbilt and Wilson county EDs who are >= 18 years old will be identified by having had conventional PA (posteroanterior) and lateral or portable CXRs (chest X-rays), independent of ICD-10 codes.
  • During the one year pilot trial, patients seen in the 2 EDs, who are >= 18 years old will be identified by ICD(International Classification of Diseases)-10 codes for pneumonia or acute respiratory failure or sepsis with secondary pneumonia codes (estimated to comprise 1800 patients).

Exclusion criteria

Exclusion Criteria:

For all above patients:

  1. Patients seen with a history of recent trauma.
  2. Subsequent episodes of pneumonia from the same patient within the study period.
  3. Patients directly admitted to hospice/comfort care.
  4. Patients admitted to a non-study hospital for further care.
  5. Patients transferred from outside hospitals.

For the groups selected by ICD-10 pneumonia codes, an additional exclusion is:

  • Patients without radiographic evidence of pneumonia or with clear radiographic evidence for an alternative diagnosis.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
6,917 participants (estimated)

Study arms

  • Experimental
    Implementation at Vanderbilt University Medical Center (VUMC) & Vanderbilt Wilson County Hospital

    ePNa (the decision support tool) will be implemented at 2 EDs that are part of the Vanderbilt Health system.

    Other: ePNa

Interventions

  • OtherePNa

    Real-time, automated clinical decision support tool for pneumonia (called "ePNa")

06

What researchers measure

Primary outcomes

  1. 14-day hospital-free days

    14-day hospital-free days (a metric which captures outpatient disposition from the emergency department, secondary hospital admission, and length of stay)

    Time frame: 14 days after initial presentation to the emergency department

Secondary outcomes

  1. 30-day all-cause mortality

    Time frame: At 30 days after initial ED presentation

  2. ED length of stay (hours)

    Time frame: At ED discharge

  3. ICU length of stay (days)

    Time frame: At ICU discharge

  4. Number of patients admitted to floor who are subsequently transferred to ICU within 72 hours

    Time frame: At 72 hours after inpatient admission

  5. Time from ED presentation to first antibiotic dose (minutes)

    Time frame: At time of first antibiotic dose

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06008314
Lead sponsor
Nathan Dean
Collaborators
Agency for Healthcare Research and Quality (AHRQ), Vanderbilt University, Stanford University
Responsible party
Nathan Dean (Professor, Pulmonary and Critical Care Medicine, Intermountain Health Care, Inc.) — Sponsor-investigator
First posted
Aug 23, 2023
Start date
Feb 1, 2025 (estimated)
Primary completion
Jun 30, 2026 (estimated)
Completion
Jun 30, 2026 (estimated)
Last update
Sep 28, 2023

Study contacts

Valerie Aston, MBA
Contact
Valerie.Aston@imail.org
801-507-4606
David Tomer, MS
Contact
David.Tomer@imail.org
801-507-4694
Nathan Dean, MD
principal investigator · Intermountain Health

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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