Clincosm LogoSign in Get a demo

Precision Feedback to Improve Health Care Quality

Sponsor
University of Michigan (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05923463
Collaborator
National Library of Medicine (NLM) (NIH)
3,500
Enrollment
1
Location
2
Arms
12
Anticipated Duration (Months)
291.9
Patients Per Site Per Month

Study Details

Study Description

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. We will assess unintended consequences in a mixed-methods process evaluation.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: precision-enhanced feedback email messages
  • Behavioral: standard feedback email messages
 N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
3500 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Health Services Research
Official Title:
A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: A Cluster-randomized Controlled Trial
Anticipated Study Start Date :
Mar 1, 2024
Anticipated Primary Completion Date :
Mar 1, 2025
Anticipated Study Completion Date :
Mar 1, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: precision-enhanced feedback email messages

Providers receive an enhanced monthly email containing precision audit and feedback (A&F).

Behavioral: precision-enhanced feedback email messages
Providers receive customized messages prioritizing metrics in an optimal formatting.
Active Comparator: standard feedback email messages

Providers receive the standard "one size fits most" A&F monthly email.

Behavioral: standard feedback email messages
Providers receive metrics in a common format.

Outcome Measures

Primary Outcome Measures

  1. Measure success rate (M) for operative cases of anesthesia care providers [Up to 2 years]

    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

Secondary Outcome Measures

  1. Average email click-through rate (CTR) [Up to 2 years]

    CTR = 100 x (number of recipient's emails with a clicked link) / (total number of emails)

  2. Average dashboard login rate (L) [Up to 2 years]

    L = 100 x (number of months with an email recipient's dashboard login event) / (total number of months)

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria (assessed before interventional period):
  • Participation in the Multicenter Perioperative Outcomes Group (MPOG) provider feedback email program.
Exclusion Criteria (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

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Michigan Ann Arbor Michigan United States 48109

Sponsors and Collaborators

  • University of Michigan
  • National Library of Medicine (NLM)

Investigators

  • Principal Investigator: Zach Landis-Lewis, University of Michigan

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
Zach Landis-Lewis, Assistant Professor of Learning Health Sciences, University of Michigan
ClinicalTrials.gov Identifier:
NCT05923463
Other Study ID Numbers:
  • HUM00194224
  • R01LM013894-01
First Posted:
Jun 28, 2023
Last Update Posted:
Jun 28, 2023
Last Verified:
Jun 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Zach Landis-Lewis, Assistant Professor of Learning Health Sciences, University of Michigan
Audit and feedback
Anesthesiology
Learning health system

Study Results

No Results Posted as of Jun 28, 2023