Performance Feedback in Health Care
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Kaiser Permanente
- Enrollment
- 595
- Locations
- 1
- Primary Endpoint
- Flu Vaccination Administered During Encounter
Study Overview
Brief Summary
The Southeast Permanente Medical Group (TSPMG) at Kaiser Permanente Georgia provides performance feedback to its providers. The performance feedback designs can vary and change over time in terms of targets, summary statistics, included measures, and frequency of delivery. The TSPMG health services research group seek to compare different performance feedback designs to identify which are most effective at contributing to performance improvement.
The research team will randomly assign providers into different performance feedback conditions, as specified in the protocol. Providers will receive performance feedback through the standard mechanism in which it is conveyed by their supervisor.
The objective is to investigate how to design performance feedback for providers to best motivate and support them in improving performance along with existing strategic priorities for care delivery.
The reserach team will test alternative designs of performance feedback that vary on the following dimension:
- targets for comparison of one's own performance
Detailed Description
The Southeast Permanente Medical Group (TSPMG) provides performance feedback to its providers. The performance feedback designs can vary and change over time in terms of targets, summary statistics, included measures, and frequency of delivery. The TSPMG health services research team will seek to compare different performance feedback designs to identify which are most effective at contributing to performance improvement. .
The research team will randomly assign providers into different performance feedback conditions, as specified in the protocol. Providers will receive performance feedback through the standard mechanism in which it is conveyed by their supervisor.
The objective is to investigate how to design performance feedback for providers to best motivate and support them in improving performance along with existing strategic priorities for care delivery.
The research team will test alternative designs of performance feedback that vary on the following dimension:
- targets for comparison of one's own performance
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Participant)
Masking Description
Providers do not know that that multiple arms of performance feedback designs exist for this study.
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •A healthcare provider practicing at The Southeast Permanente Medical Group in a specialty for which the performance measure being studied is relevant.
- •Health care providers include:
- •Physicians, Nurse Practitioner, Certified Nurse Midwife, Psych Nurse Specialist, Optometrist, Podiatrist, and Physician Assistant
Exclusion Criteria
- •Non-Physicians: Registered Nurses excluding nurse practitioners
Arms & Interventions
Organizational Target
Providers are shown the flu success performance rate of their team (a "pod," or group of providers who practice together), in comparison to their own, and with the organizational target. These updates and targets are sent bi-weekly.
Intervention: The Impact of Performance Feedback and Variable Goal Setting on Flu Vaccination Success Rates of Providers (Behavioral)
Achievable Target
Providers are shown the flu success performance rate of their team (a "pod," or group of providers who practice together), in comparison to their own. They will receive a static and achievable target based on their previous year's flu vaccination success rate.
Intervention: The Impact of Performance Feedback and Variable Goal Setting on Flu Vaccination Success Rates of Providers (Behavioral)
Variable
Providers are shown the flu success performance rate of their team (a "pod," or group of providers who practice together), in comparison to their own. They will receive a variable target that will fluctuate bi-weekly, based on their previous bi-weekly flu vaccination success rate.
Intervention: The Impact of Performance Feedback and Variable Goal Setting on Flu Vaccination Success Rates of Providers (Behavioral)
Outcomes
Primary Outcomes
Flu Vaccination Administered During Encounter
Time Frame: 10 Weeks
Whether or not the providers succeeded in administering flu vaccination during flu vaccination opportunity
Secondary Outcomes
No secondary outcomes reported
Investigators
Felipe Lobelo
Physician Program Director, Epidemiology, Public Health, and Preparedness
Kaiser Permanente