Paid Price Information on Image and Procedure Ordering Rates
NCT ID: NCT02611999
Last Updated: 2017-01-31
Study Results
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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COMPLETED
NA
1205 participants
INTERVENTIONAL
2014-01-31
2016-10-31
Brief Summary
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Detailed Description
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1. No price display for common outpatient procedures or imaging tests,
2. A single price for each procedure or test, or
3. A pair of prices for each procedure or test (that allowed physicians to compare prices that would be charged if the test was conducted at a facility within the ATRIUS network versus outside of it).
The mode for delivering this PPT intervention was ATRIUS' common electronic medical record (EMR), which all of its physicians use to place all orders related to outpatient procedures and imaging studies.
The investigators used a blocked randomized-controlled study design to quantitatively and qualitatively evaluate the effect of No, Single and Paired procedure and imaging test price information on: rate of overall procedure and test orders, clinically inappropriate orders, and appropriate orders.
The investigators used ATRIUS' administrative and EMR Data Repository to assess the quantitative outcomes proposed within this study. This repository contains the information the investigators need to block randomize at the practice level and to describe practices (e.g., size, location) and physicians (e.g., age, gender, specialty). It also captures all of the actions that physicians take when caring for patients (all orders are placed through their common EMR) and collects all of the information needed to assess clinical care quality using Healthcare Effectiveness Data and Information Set (HEDIS) measures. Data from this system have been used in numerous prior analyses of healthcare quality.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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Control
Physicians in this Arm received only a paper memo with a list of common imaging tests and procedures.
No interventions assigned to this group
Single Price
Physicians in this Arm received a single median price in the electronic medical record at the time of ordering in addition to the paper memo.
Single median price information
Physicians in this Arm received a single median price in the electronic medical record at the time of ordering in addition to the paper memo.
Paired Inside/Outside Prices
Physicians in this Arm received two prices (the inside and outside price) in the electronic medical record at the time of ordering in addition to the paper memo.
Paired inside/outside price information
Physicians in this Arm received two prices (the inside and outside price) in the electronic medical record at the time of ordering in addition to the paper memo.
Interventions
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Single median price information
Physicians in this Arm received a single median price in the electronic medical record at the time of ordering in addition to the paper memo.
Paired inside/outside price information
Physicians in this Arm received two prices (the inside and outside price) in the electronic medical record at the time of ordering in addition to the paper memo.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
No
Sponsors
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Robert Wood Johnson Foundation
OTHER
Atrius Health
OTHER
Boston Children's Hospital
OTHER
Responsible Party
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Alyna Chien
Assistant Professor of Pediatrics
Principal Investigators
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Alyna T Chien, MD, MS
Role: PRINCIPAL_INVESTIGATOR
Assistant Professor of Pediatrics, Department of General Pediatrics, Division of Medicine, Boston Children's Hospital
Locations
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Boston Children's Hospital
Boston, Massachusetts, United States
Countries
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Other Identifiers
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P00011096
Identifier Type: -
Identifier Source: org_study_id
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