NCT00187460

Brief Summary

Randomized cluster trial of cardiac report cards for AMI and CHF. 103 acute care Ontario hospitals/85 hospital corporations participating, randomized to two groups: Group A Early Feedback and Group B Delayed Feedback. Two phases of retrospective chart review of AMI and CHF separations to assess the impact of the public release of hospital specific performance on a set of Canadian quality indicators.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
46,000

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2001

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2001

Completed
3.9 years until next milestone

First Submitted

Initial submission to the registry

September 13, 2005

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 16, 2005

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2009

Completed
Last Updated

December 1, 2009

Status Verified

May 1, 2005

Enrollment Period

7.3 years

First QC Date

September 13, 2005

Last Update Submit

November 30, 2009

Conditions

Acute Myocardial InfarctionCongestive Heart Failure

Keywords

Acute myocardial infarctionCongestive heart failureQuality of careReperfusionReport cardsQuality indicators

Outcome Measures

Primary Outcomes (2)

  • EFFECT AMI Composite Quality Indicator in the year after report cards published

    April 1, 2004 - March 31, 2005

  • EFFECT CHF Composite Quality Indicator in the year after report cards published

    April 1, 2004 - March 31, 2005

Secondary Outcomes (2)

  • CCORT/CCS Individual AMI Quality Indicators in the year after report cards published

    April 1, 2004 - March 31, 2005

  • CCORT/CCS Individual CHF Quality Indicators in the year after report cards published

    April 1, 2004 - March 31, 2005

Study Arms (2)

Early Feedback Arm

ACTIVE COMPARATOR

Hospital corporations randomized to receive early feedback in the form of a report card

Behavioral: Publicly released hospital cardiac report cards

Delayed Feedback Arm

ACTIVE COMPARATOR

Hospitals randomized to receive delayed feedback in the form of a hospital report cared, 21 months after the early feedback arm.

Behavioral: Publicly released hospital cardiac report cards

Interventions

Publicly released hospital cardiac report cardsBEHAVIORAL

Participating hospital corporations were randomized to either early feedback or delayed feedback (21 months later) in the form of publicly released hospital report cards of performance on a set of cardiac process-of-care quality indicators.

Delayed Feedback ArmEarly Feedback Arm

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Hospital: Treat \> 30 AMI/CHF cases/patients per year in Ontario
  • Patient:
  • AMI Most responsible diagnosis of acute myocardial infarction(ICD-9 code 410)
  • CHF Most responsible diagnosis of heart failure(ICD-9 code 428)

You may not qualify if:

  • Patient
  • AMI Not admitted to an acute care hospital
  • AMI Age \< 20 or \> 105 years
  • AMI Invalid health card number
  • AMI Admitted to non-cardiac surgical service
  • AMI Transferred from another acute care facility
  • AMI coded as an in-hospital complication
  • AMI admission within the past year
  • CHF Not admitted to an acute care hospital
  • CHF Age \< 20 or \> 105 years
  • CHF Invalid health card number
  • CHF Admitted to surgical service
  • CHF Transferred from another acute care facility
  • CHF coded as an in-hospital complication
  • CHF admission within the past three years

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Institute for Clinical Evaluative Sciences

Toronto, Ontario, M4N 3M5, Canada

Location

Related Publications (4)

  • Tu JV, Donovan LR, Lee DS, Austin PC, Ko DT, Wang JT, Newman AM. Quality of Cardiac Care in Ontario. ICES, Toronto, Ontario, 2004

    RESULT

  • Jackevicius CA, Alter D, Cox J, Daly P, Goodman S, Filate W, Newman A, Tu JV; Canadian Cardiovascular Outcomes Research Team. Acute treatment of myocardial infarction in Canada 1999-2002. Can J Cardiol. 2005 Feb;21(2):145-52.

    PMID: 15729413RESULT

  • Lee DS, Austin PC, Rouleau JL, Liu PP, Naimark D, Tu JV. Predicting mortality among patients hospitalized for heart failure: derivation and validation of a clinical model. JAMA. 2003 Nov 19;290(19):2581-7. doi: 10.1001/jama.290.19.2581.

    PMID: 14625335RESULT

  • Tu JV, Donovan LR, Lee DS, Wang JT, Austin PC, Alter DA, Ko DT. Effectiveness of public report cards for improving the quality of cardiac care: the EFFECT study: a randomized trial. JAMA. 2009 Dec 2;302(21):2330-7. doi: 10.1001/jama.2009.1731. Epub 2009 Nov 18.

    PMID: 19923205RESULT

Related Links

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Study Officials

  • Jack V Tu, MD PhD FRCPC

    Institute for Clinical Evaluative Studies, Sunnybrook & Women's College Health Sciences Centre, University of Toronto

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER

Study Record Dates

First Submitted

September 13, 2005

First Posted

September 16, 2005

Study Start

November 1, 2001

Primary Completion

March 1, 2009

Study Completion

March 1, 2009

Last Updated

December 1, 2009

Record last verified: 2005-05

Locations

CA(1)