Effect of Targeted Interventions to Improve Value Based Health Care for Inpatient Cardiology Patients
1 other identifier
interventional
183
1 country
1
Brief Summary
The investigators hypothesize that a combined didactic and data feedback program presenting evidence based indications and in-hospital-charges for echocardiograms to inpatient cardiology team members will lead to increased health care value for patients on inpatient cardiology teams.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable heart-failure
Started Feb 2017
Shorter than P25 for not_applicable heart-failure
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
February 27, 2017
CompletedFirst Submitted
Initial submission to the registry
May 25, 2017
CompletedFirst Posted
Study publicly available on registry
June 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2017
CompletedAugust 10, 2018
August 1, 2018
8 months
May 25, 2017
August 9, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Average echocardiography charges per inpatient team
Average echocardiography charges per inpatient team per month
30 days
Secondary Outcomes (2)
Average number of complete transthoracic echocardiograms per inpatient team
30 days
Average number of focused transthoracic echocardiograms per inpatient team
30 days
Other Outcomes (2)
Readmission rate
30 day
Index hospitalization mortality
30 day
Study Arms (1)
Value Feedback Arm
EXPERIMENTALA weekly email will be sent to all inpatient, resident-staffed cardiology teams outlining best use practices from AHA/ACC statements on trans-thoracic echoacardiography and data feedback on in-hospital charges, running 13 week average usage and previous week usage of full and limited trans thoracic echocardiograms
Interventions
a biweekly email to three house staff-run cardiology services at VUMC presenting the in-hospital charges and appropriate use of echocardiography. A weekly email will also be sent to the intervention services detailing their team's in-hospital charges for echocardiograms during the preceeding week.
Eligibility Criteria
You may qualify if:
- All residents rotation through inpatient cardiology teams at a large academic medical center
You may not qualify if:
- Residents who elect to not recieve feedback email
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Vanderbilt University Medical Center
Nashville, Tennessee, 37212, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
May 25, 2017
First Posted
June 1, 2017
Study Start
February 27, 2017
Primary Completion
November 1, 2017
Study Completion
December 31, 2017
Last Updated
August 10, 2018
Record last verified: 2018-08
Data Sharing
- IPD Sharing
- Will not share