Performance Feedback in Health Care

NCT04579614 | Completed

• 1 other identifier: 1535959-1
• Study Type: interventional
• Target: 595
• Locations: 1 country
• Sites: 1

Brief Summary

The Southeast Permanente Medical Group (TSPMG) at Kaiser Permanente Georgia provides performance feedback to its providers. The performance feedback designs can vary and change over time in terms of targets, summary statistics, included measures, and frequency of delivery. The TSPMG health services research group seek to compare different performance feedback designs to identify which are most effective at contributing to performance improvement. The research team will randomly assign providers into different performance feedback conditions, as specified in the protocol. Providers will receive performance feedback through the standard mechanism in which it is conveyed by their supervisor. The objective is to investigate how to design performance feedback for providers to best motivate and support them in improving performance along with existing strategic priorities for care delivery. The reserach team will test alternative designs of performance feedback that vary on the following dimension: 1\) targets for comparison of one's own performance

Conditions

Influenza

Keywords

Flu Vaccination Provision; Performance Feedback; Variable Goal Setting; Flu Vaccination Success Rate; Health Care Providers

Outcome Measures

Primary Outcomes (1)

• Flu Vaccination Administered During Encounter

  Whether or not the providers succeeded in administering flu vaccination during flu vaccination opportunity

  10 Weeks

Study Arms (3)

Organizational Target

ACTIVE COMPARATOR

Providers are shown the flu success performance rate of their team (a "pod," or group of providers who practice together), in comparison to their own, and with the organizational target. These updates and targets are sent bi-weekly.

Behavioral: The Impact of Performance Feedback and Variable Goal Setting on Flu Vaccination Success Rates of Providers

Achievable Target

EXPERIMENTAL

Providers are shown the flu success performance rate of their team (a "pod," or group of providers who practice together), in comparison to their own. They will receive a static and achievable target based on their previous year's flu vaccination success rate.

Behavioral: The Impact of Performance Feedback and Variable Goal Setting on Flu Vaccination Success Rates of Providers

Variable

EXPERIMENTAL

Providers are shown the flu success performance rate of their team (a "pod," or group of providers who practice together), in comparison to their own. They will receive a variable target that will fluctuate bi-weekly, based on their previous bi-weekly flu vaccination success rate.

Behavioral: The Impact of Performance Feedback and Variable Goal Setting on Flu Vaccination Success Rates of Providers

Interventions

The Impact of Performance Feedback and Variable Goal Setting on Flu Vaccination Success Rates of Providers BEHAVIORAL

A given provider will be involved in the study for a maximum of 6 months. This will involve, at the most frequent, the delivery of weekly performance feedback. The performance feedback will be delivered using standard approaches already in place in the organization and there will not be a period of seeking out participants for enrollment. Providers will receive performance feedback bi-weekly for the duration of the study period.

Achievable Target; Organizational Target; Variable

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• A healthcare provider practicing at The Southeast Permanente Medical Group in a specialty for which the performance measure being studied is relevant.
• Health care providers include:
• Physicians, Nurse Practitioner, Certified Nurse Midwife, Psych Nurse Specialist, Optometrist, Podiatrist, and Physician Assistant

You may not qualify if:

• Non-Physicians: Registered Nurses excluding nurse practitioners

Sponsors & Collaborators

• Kaiser Permanente: lead
• London School of Economics and Political Science: collaborator

Study Sites (1)

Kaiser Permanente Georgia Regional Offices

Atlanta, Georgia, 30305, United States

Location

MeSH Terms

Conditions

Influenza, Human

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Orthomyxoviridae Infections; RNA Virus Infections; Virus Diseases; Respiratory Tract Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Providers do not know that that multiple arms of performance feedback designs exist for this study.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physician Program Director, Epidemiology, Public Health, and Preparedness

Model Details: Providers are randomized to receive one of three designs of performance feedback, related to their rate of successful flu vaccinations among total flu opportunities

Study Record Dates

• First Submitted: September 9, 2020
• First Posted: October 8, 2020
• Study Start: September 23, 2019
• Primary Completion: December 31, 2019
• Study Completion: December 31, 2019
• Last Updated: October 8, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)