Precision Feedback to Improve Health Care Quality

NCT05923463 | Active Not Recruiting

• 2 other identifiers: HUM00194224R01LM013894-01
• Study Type: interventional
• Target: 3,500
• Locations: 1 country
• Sites: 1

Brief Summary

This cluster-randomized trial will assess the effectiveness of a precision feedback service on anesthesia provider performance. The precision feedback service enhances a standard audit and feedback (A\&F) email with a brief message and visual display about high-value performance information. The control arm will receive a standard "one size fits most" A\&F email that is currently sent to anesthesia providers each month. Hypothesis: Providers receiving precision feedback will increase a) care quality for improvable measures and b) email engagement (click-through and dashboard login rates) when compared with providers receiving standard A\&F emails. The study investigators will assess unintended consequences in a mixed-methods process evaluation.

Conditions

Anesthesia Care Quality

Keywords

Audit and feedback; Anesthesiology; Learning health system

Outcome Measures

Primary Outcomes (1)

• Measure success rate (M) for operative cases of anesthesia care providers

  The primary outcome for the cluster-randomized controlled trial is the measure success rate (M) for operative cases of anesthesia care providers, where: M = sum of all operative case measurement successes / number of all operative case measurements The measures included in each provider's measure success rate will be all improvable process measures that meet the following inclusion criteria: 1. A provider's cases were included for the measure during both the 6-month pre-intervention period and during the 6-month intervention period. 2. Average performance for the measure is below 90% during the baseline period, based on the MPOG threshold for most process measures. 3. The measure was included in at least one provider feedback email during the intervention period. The investigators will exclude measures of clinical outcomes (also called "inverse measures") in this study that are less within the control of providers.

  Up to 1 year

Secondary Outcomes (2)

• Average email click-through rate (CTR)

  Up to 6 months

• Average dashboard login rate (L)

  Up to 1 year

Study Arms (2)

precision-enhanced feedback email messages

EXPERIMENTAL

Providers receive an enhanced monthly email containing precision audit and feedback (A\&F).

Behavioral: precision-enhanced feedback email messages

standard feedback email messages

ACTIVE COMPARATOR

Providers receive the standard "one size fits most" A\&F monthly email.

Behavioral: standard feedback email messages

Interventions

precision-enhanced feedback email messages BEHAVIORAL

Providers receive customized messages prioritizing metrics in an optimal formatting.

precision-enhanced feedback email messages

standard feedback email messages BEHAVIORAL

Providers receive metrics in a common format.

standard feedback email messages

Eligibility Criteria

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

You may qualify if:

• Participation in the Multicenter Perioperative Outcomes Group (MPOG) provider feedback email program.

You may not qualify if:

• Ended participation in the MPOG provider feedback email program for any reason during the study period
• Changed professional roles (e.g. transitioned from resident to attending) before the end of the intervention period
• Changed institutions during the study period
• Had no institution-selected quality measures in common between the pre-intervention and intervention period
• Were not candidates to receive a precision feedback email for the majority of the trial.

Sponsors & Collaborators

• University of Michigan: lead
• National Library of Medicine (NLM): collaborator

Study Sites (1)

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Related Publications (1)

• Landis-Lewis Z, Flynn A, Janda A, Shah N. A Scalable Service to Improve Health Care Quality Through Precision Audit and Feedback: Proposal for a Randomized Controlled Trial. JMIR Res Protoc. 2022 May 10;11(5):e34990. doi: 10.2196/34990.

  PMID: 35536637 BACKGROUND

Study Officials

• Zach Landis-Lewis

  University of Michigan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Learning Health Sciences

Study Record Dates

• First Submitted: June 20, 2023
• First Posted: June 28, 2023
• Study Start: May 6, 2024
• Primary Completion: November 30, 2024
• Study Completion: June 1, 2025
• Last Updated: February 24, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)