Patient Characteristics Stratified by Intervention
COPD
CHRONIC OBSTRUCTIVE PULMONARY DISEASE, COPD, SECONDARY, SEPARATION
Abbreviations: ASA, American Society of Anesthesiologists; BMI, body mass index (calculated as weight in kilograms divided by height in meters squared); COPD, chronic obstructive pulmonary disease; MET, metabolic equivalent of task.Specific genders included in the Includes electronic health record entries of American Indian or Alaska Native, multiple races, other race, unknown race, and declined to respond.The Barthel Index measures independence in activities of daily living, with scores ranging from 0 (severe dependence in all domains) to 100 (complete independence in assessed domains).As a pilot trial, demonstrating the ability to deliver the intervention was a main aim of this study. Gaps in staffing and software problems decreased over time. In 2017 (April 3 through December 31), the ACT was operational on 156 of 192 weekdays. From October 1, 2018, through June 30, 2019, 182 of 192 weekdays were staffed. The number of staffed weekdays per month is shown in eFigure 1A in Separation between the intervention and control ORs was excellent. Overall, the ACT contacted 1636 of 12 980 intervention ORs (12.6%) and 99 of 13 274 control ORs (0.7%). In the pre–Epic EHR period, 877 of 5808 intervention ORs (15.1%) and 40 of 6065 control ORs (0.7%) were contacted; in the Epic EHR period, 759 of 7172 intervention ORs (10.6%) and 59 of 7209 control ORs (0.8%) were contacted (eTable 2 in In the pre–Epic EHR period, the ACT was characterized by contacts for alerts (eTable 2 in Results for primary, secondary, and exploratory clinical outcomes are shown in 