Targeted Feedback Reports to Improve Acute Coronary Syndromes (ACS) Care

Not Applicable

Completed

• Conditions: Acute Coronary Syndromes
• Interventions: Behavioral: Targeted Feedback Reports; Behavioral: Targeted Feedback Report

• Registration Number: NCT00952250
• Lead Sponsor: Duke University

Brief Summary

This project is designed to examine the impact of tailored feedback on site performance.

The investigators' objective is to evaluate whether a 'personalized and targeted' feedback, education and performance improvement intervention has a greater impact on adherence to recommended guidelines than standard feedback.

The investigators hypothesize that a site-specific report with centrally identified targets for improvement paired with target specific interventions will enable sites to quickly identify and prioritize salient problem areas, have ready access to an analysis of factors that underlie problems, and formulate an effective action plan. The investigators also hypothesize that those hospitals randomized to receive intervention will be more likely to improve their overall performance, as well as their target specific performance, during the period of observation in direct response to activated QI processes.

Outcomes:

The primary outcome is improvement in the overall composite of all metrics eligible for intervention regardless of their selection as targets.

The secondary outcome is improvement in the composite of targeted metrics.

Outcomes will be assessed in all participating sites, and in among relevant performance subgroups (low performers, academic centers, full service, and among medication versus process metrics).

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2009-02
• Study First Submitted: 2009-08-04
• Study First Submitted QC: 2009-08-04
• Study First Posted: 2009-08-06
• Primary Completion: 2011-07
• Study Completion: 2011-07
• Status Verified: 2011-12
• Last Update Submitted: 2011-12-01
• Last Update Posted: 2011-12-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 149

Inclusion Criteria

• hospitals participating in the ACTION Registry GWTG

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Exclusion Criteria

• sites with low volume of data submission (< 10 data forms in the past year)

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Targeted Feedback Reports	Targeted Feedback Reports	Conventional feedback reports
Targeted Feedback Report	Targeted Feedback Report	Report designed to target areas for local hospital-specific improvement.

Primary Outcome Measures

Name	Time	Method
The primary outcome is improvement in the overall composite of all metrics eligible for intervention regardless of their selection as targets.	12 months

Secondary Outcome Measures

Name	Time	Method
The secondary outcome is improvement in the composite of targeted metrics.	12 months

Trial Locations

Locations (1)

Duke University Health System; 🇺🇸 Durham, North Carolina, United States