A Brief Intervention to Improve Cost-effective Resource Use Among Medicine Housestaff

NCT ID: NCT01303263

Last Updated: 2011-06-22

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

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2011-02-28

Brief Summary

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OBJECTIVE: To test a brief intervention designed to improve the cost-effectiveness of care provided by medicine housestaff for hospitalized patients.

HYPOTHESIS: A brief intervention in which medicine residents receive itemized bills for recent patients cared for by them, followed by a discussion on approaches to reducing unnecessary inpatient costs, can result in significant cost reductions without adversely affecting patient outcomes.

Detailed Description

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We designed a brief educational intervention with two primary objectives: 1) to increase awareness among residents about how their decisions impact the costs of inpatient medical care; and 2) to improve the cost-effectiveness of care provided by residents without adversely affecting patient outcomes. We hypothesized that a brief intervention in which residents receive bills for patients they recently cared for, followed by a discussion on approaches to reducing unnecessary inpatient costs, would reduce costs without adversely affecting patient outcomes.

Conditions

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Graduate Medical Education Cost-Effectiveness

Study Design

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Allocation Method

RANDOMIZED

Study Groups

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Intervention Group

Residents Randomized to Receive Educational Intervention

Group Type OTHER

Educational Intervention

Intervention Type BEHAVIORAL

45-minute teaching session on healthcare costs, in which each resident reviewed an itemized hospital bill for a patient he/she had cared for, followed by an open-ended discussion about reducing unnecessary costs.

Control Group

Residents randomized not to receive a teaching intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Educational Intervention

45-minute teaching session on healthcare costs, in which each resident reviewed an itemized hospital bill for a patient he/she had cared for, followed by an open-ended discussion about reducing unnecessary costs.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Internal Medicine Residents on Inpatient Rotations at Brigham \& Women's Hospital

Exclusion Criteria

* Having a team member who was in either the control group or intervention group in a prior round of this study.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Partners Center of Expertise in Quality and Patient Safety

UNKNOWN

Sponsor Role collaborator

Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Brigham & Women's Hospital

Principal Investigators

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David Bates, MD

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Benjamin D Sommers, MD, PhD

Role: STUDY_DIRECTOR

Brigham and Women's Hospital

Locations

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Brigham & Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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2009-P-001758/1; BWH

Identifier Type: -

Identifier Source: org_study_id

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