Impact of an Electronic Health Record Maintenance Alert on PSA Screening Rates in a 10-Hospital Integrated Health System

Summary

\- The investigators propose a clinical trial to evaluate the impact of annual shared decision making for PSA screening, supported by system-level enhancements to promote evidence-based care: * Defined referral thresholds within the health maintenance reminder, aligned with clinical risk stratification per NCCN guidelines. * Enhanced clinical decision support (CDS) tools to reduce provider variation and ensure guideline-concordant screening and referral practices. * The goal is to reduce late-stage presentation without increasing overdiagnosis-ensuring that prostate cancer screening is both accessible and clinically effective.

Eligibility

Eligibility Criteria:

* Receive care within the BJC Health System
* Have had at least one primary care physician appointment in the calendar year of PSA screening (primary care)
* Be male
* Not have a history of prostate cancer
* Meet one of the following risk criteria:

  * High Risk for Prostate Cancer

    * African American, between the ages of 40 and 75 (inclusive), or
    * Family history of prostate, breast, ovarian, and/or pancreatic cancer, or
    * Known familial germline mutation OR
  * Average Risk for Prostate Cancer

    * Between the ages of 50 and 75 (inclusive)

Conditions3

Locations1 site

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