Targeted Feedback Reports to Improve Acute Coronary Syndromes (ACS) Care

NCT ID: NCT00952250

Last Updated: 2011-12-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

149 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2011-07-31

Brief Summary

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This project is designed to examine the impact of tailored feedback on site performance.

The investigators' objective is to evaluate whether a 'personalized and targeted' feedback, education and performance improvement intervention has a greater impact on adherence to recommended guidelines than standard feedback.

The investigators hypothesize that a site-specific report with centrally identified targets for improvement paired with target specific interventions will enable sites to quickly identify and prioritize salient problem areas, have ready access to an analysis of factors that underlie problems, and formulate an effective action plan. The investigators also hypothesize that those hospitals randomized to receive intervention will be more likely to improve their overall performance, as well as their target specific performance, during the period of observation in direct response to activated QI processes.

Outcomes:

The primary outcome is improvement in the overall composite of all metrics eligible for intervention regardless of their selection as targets.

The secondary outcome is improvement in the composite of targeted metrics.

Outcomes will be assessed in all participating sites, and in among relevant performance subgroups (low performers, academic centers, full service, and among medication versus process metrics).

Detailed Description

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Conditions

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Acute Coronary Syndromes

Keywords

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quality improvement

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Targeted Feedback Reports

Conventional feedback reports

Group Type ACTIVE_COMPARATOR

Targeted Feedback Reports

Intervention Type BEHAVIORAL

Sites randomized to this arm will receive specialized feedback summarizing their adherence to the guidelines and suggestions on ways to improve performance.

Targeted Feedback Report

Report designed to target areas for local hospital-specific improvement.

Group Type EXPERIMENTAL

Targeted Feedback Report

Intervention Type BEHAVIORAL

Report designed to target areas for local hospital-specific improvement

Interventions

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Targeted Feedback Reports

Sites randomized to this arm will receive specialized feedback summarizing their adherence to the guidelines and suggestions on ways to improve performance.

Intervention Type BEHAVIORAL

Targeted Feedback Report

Report designed to target areas for local hospital-specific improvement

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* hospitals participating in the ACTION Registry GWTG

Exclusion Criteria

* sites with low volume of data submission (\< 10 data forms in the past year)
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Agency for Healthcare Research and Quality (AHRQ)

FED

Sponsor Role collaborator

Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karen P Alexander, MD

Role: PRINCIPAL_INVESTIGATOR

Duke University

Locations

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Duke University Health System

Durham, North Carolina, United States

Site Status

Countries

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United States

References

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Alexander KP, Wang TY, Li S, Lytle BL, Slattery LE, Calhoun S, Poteat J, Roe MT, Rumsfeld JS, Cannon CP, Peterson ED. Randomized trial of targeted performance feedback to facilitate quality improvement in acute myocardial infarction care. Circ Cardiovasc Qual Outcomes. 2011 Jan 1;4(1):129-35. doi: 10.1161/CIRCOUTCOMES.110.958470.

Reference Type DERIVED
PMID: 21245461 (View on PubMed)

Other Identifiers

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Pro00010526

Identifier Type: -

Identifier Source: org_study_id