A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: A Cluster-randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 3,500
- 试验地点
- 1
- 主要终点
- Measure success rate (M) for operative cases of anesthesia care providers
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(assessed before interventional period):
- •Participation in the Multicenter Perioperative Outcomes Group (MPOG) provider feedback email program.
排除标准
- •(assessed after interventional period):
- •Ended participation in the MPOG provider feedback email program for any reason during the study period
- •Changed professional roles (e.g. transitioned from resident to attending) before the end of the intervention period
- •Changed institutions during the study period
- •Had no institution-selected quality measures in common between the pre-intervention and intervention period
- •Were not candidates to receive a precision feedback email for the majority of the trial.
研究组 & 干预措施
precision-enhanced feedback email messages
Providers receive an enhanced monthly email containing precision audit and feedback (A&F).
干预措施: precision-enhanced feedback email messages (Behavioral)
standard feedback email messages
Providers receive the standard "one size fits most" A&F monthly email.
干预措施: standard feedback email messages (Behavioral)
结局指标
主要结局
Measure success rate (M) for operative cases of anesthesia care providers
时间窗: 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.
次要结局
- Average email click-through rate (CTR)(Up to 6 months)
- Average dashboard login rate (L)(Up to 1 year)
研究者
Zach Landis-Lewis
Assistant Professor of Learning Health Sciences
University of Michigan