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Description:Virology FastTrack is a clinical decision support system that generates alerts in the electronic medical record (EMR) to notify HIV care providers of suboptimal follow up, virologic failure, and new laboratory toxicities. The alerts are generated based on an algorithm that accounts for the patient’s appointment and care history. FastTrack generates and sends alert messages to providers through their EMR home page, patient-specific EMR, and biweekly emails. The interactive alerts for virologic failure, suboptimal follow up, or laboratory toxicity provide key clinical information and a streamlined mechanism for providers to request follow-up appointments and lab tests. Providers respond to these alerts by acting, dismissing, or redirecting the alert to a different provider. Scheduling requests are electronically sent to administrative assistants who contact and schedule patients for follow-up lab tests and/or appointments. Alerts are automatically resolved and removed from the EMR when patients complete repeat lab tests, have an arrived appointment, or if the provider did not respond in 8 weeks. If a requested appointment or lab test is not completed within 2 weeks of the requested timeframe, a one-time reminder alert is sent to the HIV care provider.
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