Paid Price Information on Image and Procedure Ordering Rates

NCT02611999 | Completed

• 1 other identifier: P00011096
• Study Type: interventional
• Target: 1,205
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators' study seeks to explore the impact of price information on physicians' ordering behavior and care quality. The investigators will evaluate the impact of the physician price transparency initiative at Atrius Health (ATRIUS) on rate of overall procedure and test orders, clinically inappropriate orders, and appropriate orders. Ultimately, this study will help stakeholders understand the degree to which price information can help improve the value of healthcare.

Conditions

Healthy

Keywords

Physicians' ordering behavior with price information

Outcome Measures

Primary Outcomes (3)

• Overall procedure and imaging test ordering rate

  1 year

• Choosing Wisely-based clinically inappropriate ordering rate

  1 year

• HEDIS-based clinically appropriate ordering rate

  1 year

Study Arms (3)

Control

NO INTERVENTION

Physicians in this Arm received only a paper memo with a list of common imaging tests and procedures.

Single Price

EXPERIMENTAL

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.

Behavioral: Single median price information

Paired Inside/Outside Prices

EXPERIMENTAL

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.

Behavioral: Paired inside/outside price information

Interventions

Single median price information BEHAVIORAL

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 Price

Paired inside/outside price information BEHAVIORAL

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 Prices

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Providers who can place orders in the EMR independently and who have worked at ATRIUS since 2013.

You may not qualify if:

• Providers who do not use the common electronic medical record system, cannot place orders in the electronic medical record independently (e.g., registered nurses, licensed practical nurses, registered dieticians), worked after hours Telecom, or were per diem.

Sponsors & Collaborators

• Boston Children's Hospital: lead
• Robert Wood Johnson Foundation: collaborator
• Atrius Health: collaborator

Study Sites (1)

Boston Children's Hospital

Boston, Massachusetts, 02115, United States

Location

Study Officials

• Alyna T Chien, MD, MS

  Assistant Professor of Pediatrics, Department of General Pediatrics, Division of Medicine, Boston Children's Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Pediatrics

Study Record Dates

• First Submitted: November 19, 2015
• First Posted: November 23, 2015
• Study Start: January 1, 2014
• Primary Completion: December 1, 2014
• Study Completion: October 1, 2016
• Last Updated: January 31, 2017

Record last verified: 2017-01

Locations

US (1)