A Brief Intervention to Improve Cost-effective Resource Use Among Medicine Housestaff
1 other identifier
interventional
96
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2009
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2011
CompletedFirst Submitted
Initial submission to the registry
February 23, 2011
CompletedFirst Posted
Study publicly available on registry
February 24, 2011
CompletedJune 22, 2011
February 1, 2011
1.2 years
February 23, 2011
June 21, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Total Cost
Total hospital cost per admission for 2 weeks following the educational intervention.
2 weeks following educational intervention
Lab Cost
Total lab cost per admission for 2 weeks following the educational intervention.
2 weeks following educational intervention
Pharmacy Cost
Total pharmacy cost per admission for 2 weeks following the educational intervention.
2 weeks following educational intervention
Radiology Cost
Total radiology cost per admission for 2 weeks following the educational intervention.
2 weeks following educational intervention
Secondary Outcomes (4)
length of stay
2 weeks after educational intervention
admission to an intensive care unit (ICU)
2 weeks after educational intervention
30-day readmission
within 30 days after end of study period
30-day mortality
within 30 days after end of study period
Study Arms (2)
Intervention Group
OTHERResidents Randomized to Receive Educational Intervention
Control Group
NO INTERVENTIONResidents randomized not to receive a teaching intervention.
Interventions
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.
Eligibility Criteria
You may qualify if:
- Internal Medicine Residents on Inpatient Rotations at Brigham \& Women's Hospital
You may not qualify if:
- Having a team member who was in either the control group or intervention group in a prior round of this study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Brigham & Women's Hospital
Boston, Massachusetts, 02115, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
David Bates, MD
Brigham and Women's Hospital
- STUDY DIRECTOR
Benjamin D Sommers, MD, PhD
Brigham and Women's Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
February 23, 2011
First Posted
February 24, 2011
Study Start
September 1, 2009
Primary Completion
December 1, 2010
Study Completion
February 1, 2011
Last Updated
June 22, 2011
Record last verified: 2011-02