A CHAMP-Path presentation about the Physician's and Resident's role in the patient recruitment process.

1. Physician’s & Resident’s Role
CHAMP-Path Study | Recruitment Process

2. Pre-Test
Q1: The Screening Log Sheet is for recording the recruited
patients only. True or False?
Q2: Where are all the copies of the forms located?
Q3: Where will you find the allocation labels – which identify
the patient’s randomly assigned case number and care group?
Q4: The Pathways Referral Form is to be used for all recruited
patients. True or False?

4. STEP 1:
Screen

5. Eligibility Criteria

6. Eligibility Criteria
Heart Failure Community Acquired Pneumonia
• Older than 14 years old • Older than 14 years old
• One principle diagnosis • One principle diagnosis
• Hemodynamic stability • Hemodynamic stability
• Cardiogenic pulmonary edema • Not an ICU patient
• Not requiring Inotropic agents • Not pregnant
• Not an ICU patient
• Not pregnant

7. If patient is ineligible…
Record and explain why on the
Screening Log Sheet

9. If patient is eligible…
Take an
Informed Consent

10. STEP 2:
Informed Consent

11. Copies of this
form can be
found at:
(3)ER counters
(4)Dept of Med
office door

12. If patient does NOT agree…
Record and explain why on the
Screening Log Sheet

14. If patient Agrees…
Record on the
Screening Log Sheet

15. Copies of this sheet can be found at:
(1) ER counters
(2) Dept of Med office door

16. So whether the patient is….
ineligible,
eligible and does not agree, or
eligible and agrees ….
Record on the
Screening Log Sheet

17. Please Remember…
 Screening Log Sheets will be collected.
 Collection points are:
(4) ER – file tray behind the counters
(5) Dept of Med – file tray office door
 File trays are labeled:
CHAMP-Path Screening Log Sheets To-Be-Collected

18. STEP 3:
Allocation

19. Patient Has Agreed!
Request from ED Pharmacy:
1. CHAMP-Path Envelope
2. Patient Registration Form

20. CHAMP-Path Envelope

21. CHAMP-Path Registration Form
Patient Label Here Allocation Label Here

22. Break the Seal
CHAMP-Path Envelope
Inside the envelope:
Two allocation labels
identifying patient’s
diagnosis and
randomly-assigned
UC or PC
case number and
care group
(UC=Usual;
PC=Pathway)
Use one label for the
Patient Registration
Form. If PC, keep the
other label for the
Pathway Care
Referral Form,
otherwise leave ‘UC
label’ in envelope.

23. CHAMP-Path Registration Form
Patient Label Here Allocation Label Here
Return Form and Envelope to ED Pharmacy, for
pharmacy staff to sign.

24. If patient has been assigned to
Pathway Care (PC)…..
Initiate Pathways through
QuadraMed
Fill Out Pathways Referral Form

25. Affix the Patient
Label.
Affix the other Allocation Label Here
Must say “PC”
Allocation label.
Fill out the form.
Give to Nurse
Manager or Nurse-
in-Charge to fax to
the Medicine
Pathway Team
This form can be
found at:
(2)ER Counters
(3)Dept of Med
office door

26. Now…

27. Post-Test
Q: The Screening Log Sheet is for recording the recruited patients only.
True or False?
A: False; ineligible and eligible non-recruited patients are recorded too.
Q: Where are all the copies of the forms located?
A: All forms are located on the ER counters and Dept of Med office door.
Q: Where will you find the allocation labels – which identify the
patient’s randomly assigned case number and care group?
A: Allocation labels are located in a sealed envelope in the ED Pharmacy.
Q: The Pathways Referral Form is to be used for all recruited
patients. True or False?
A: False; Pathways Referral Form is only for those patients who have been
assigned to pathway care, not usual care.

28. Questions…..
Comments….

29. THANK YOU
Public link to this presentation on the internet:
http://www.slideshare.net/maryam_kk/champpath-study-physicians-role
Please feel free to contact me:
Maryam Khalil
CHAMP-Path Research Assistant
Email: maryam.research@gmail.com
Ext: 21298 (Dept of Med)