Precision Feedback to Improve Health Care Quality

Not Applicable

Active, not recruiting

• Conditions: Anesthesia Care Quality
• Interventions: Behavioral: standard feedback email messages; Behavioral: precision-enhanced feedback email messages

• Registration Number: NCT05923463
• Lead Sponsor: University of Michigan

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-06-20
• Study First Submitted QC: 2023-06-20
• Study First Posted: 2023-06-28
• Study Start: 2024-05-06
• Primary Completion: 2024-11-30
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-20
• Last Update Posted: 2025-02-24
• Study Completion: 2025-06

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 3500

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
standard feedback email messages	standard feedback email messages	Providers receive the standard "one size fits most" A\&F monthly email.
precision-enhanced feedback email messages	precision-enhanced feedback email messages	Providers receive an enhanced monthly email containing precision audit and feedback (A\&F).

Primary Outcome Measures

Name	Time	Method
Measure success rate (M) for operative cases of anesthesia care providers	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 Outcome Measures

Name	Time	Method
Average email click-through rate (CTR)	Up to 6 months	CTR = 100 x (number of recipient's emails with a clicked link) / (total number of emails)
Average dashboard login rate (L)	Up to 1 year	L = 100 x (number of months with an email recipient's dashboard login event) / (total number of months)

Trial Locations

Locations (1)

University of Michigan; 🇺🇸 Ann Arbor, Michigan, United States