Randomized Controlled Cluster Trial of Resident Pay for Performance and Cardiovascular Outcomes
试验速览
- 阶段
- 3 期
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- compliance with composite pay for performance measure
研究概览
简要总结
The purpose of this study is to determine if a pay for performance model in contrast to the traditional "fee for service" model may improve the number of patients discharged being treated in accordance with Joint Commission on Health Care JCAHO (a non-for profit organization that accredits health care organizations) standards and standard of care for management of hyperlipidemia
In this study the investigators will evaluate these two models by training resident physicians (doctors in training) on JCAHO core measures and specific criteria related to accepted standard of care for acute myocardial infarction and heart failure. The physicians will be randomized to a pay for performance or a fee for service model. Then a medical record review will be performed on patient records that received a discharge diagnosis of myocardial infarction or heart failure and were cared for by the physician subjects
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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
- •Physician inclusion: Resident physician on the Acute Cardiology Service, the Coronary Care Unit, or the General Medicine Service at the University of Virginia
- •Patient inclusion: discharge diagnosis of heart failure or myocardial infarction.
排除标准
- •Residents that are part of the study team
结局指标
主要结局
compliance with composite pay for performance measure
时间窗: 1 month
In patients discharged from the Coronary Care Unit, Acute Coronary Care Service, or General Medical Service with the discharge diagnosis of either heart failure or myocardial infarction, there is no difference in the rate of compliance with the composite score (see below; Heart Failure Score or Myocardial Infarction Score) between physicians reimbursed in a pay for performance scheme and those who receive no additional reimbursement.
次要结局
- myocardial infarction score(1 month)
- heart failure composite score(1 month)
- readmission rate(30 days)
研究者
Robert Schutt, MD
Resident
University of Virginia