A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: a Cluster-randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia Care Quality
- Sponsor
- University of Michigan
- Enrollment
- 3500
- Locations
- 1
- Primary Endpoint
- Measure success rate (M) for operative cases of anesthesia care providers
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
This cluster-randomized trial will assess the effectiveness of a precision feedback service on anesthesia provider performance. The precision feedback service enhances a standard audit and feedback (A&F) email with a brief message and visual display about high-value performance information. The control arm will receive a standard "one size fits most" A&F email that is currently sent to anesthesia providers each month. Hypothesis: Providers receiving precision feedback will increase a) care quality for improvable measures and b) email engagement (click-through and dashboard login rates) when compared with providers receiving standard A&F emails. The study investigators will assess unintended consequences in a mixed-methods process evaluation.
Investigators
Zach Landis-Lewis
Assistant Professor of Learning Health Sciences
University of Michigan
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Measure success rate (M) for operative cases of anesthesia care providers
Time Frame: Up to 1 year
The primary outcome for the cluster-randomized controlled trial is the measure success rate (M) for operative cases of anesthesia care providers, where: M = sum of all operative case measurement successes / number of all operative case measurements The measures included in each provider's measure success rate will be all improvable process measures that meet the following inclusion criteria: 1. A provider's cases were included for the measure during both the 6-month pre-intervention period and during the 6-month intervention period. 2. Average performance for the measure is below 90% during the baseline period, based on the MPOG threshold for most process measures. 3. The measure was included in at least one provider feedback email during the intervention period. The investigators will exclude measures of clinical outcomes (also called "inverse measures") in this study that are less within the control of providers.
Secondary Outcomes
- Average email click-through rate (CTR)(Up to 6 months)
- Average dashboard login rate (L)(Up to 1 year)