Randomized Controlled Cluster Trial of Resident Pay for Performance and Cardiovascular Outcomes

The recruitment status of this study is unknown because the information has not been verified recently.
Verified April 2012 by University of Virginia.
Recruitment status was  Recruiting
Sponsor:
Information provided by (Responsible Party):
Robert Schutt, MD, University of Virginia
ClinicalTrials.gov Identifier:
NCT01590290
First received: April 30, 2012
Last updated: May 1, 2012
Last verified: April 2012

April 30, 2012
May 1, 2012
April 2012
April 2013   (final data collection date for primary outcome measure)
compliance with composite pay for performance measure [ Time Frame: 1 month ] [ Designated as safety issue: No ]
In patients discharged from the Coronary Care Unit, Acute Coronary Care Service, or General Medical Service with the discharge diagnosis of either heart failure or myocardial infarction, there is no difference in the rate of compliance with the composite score (see below; Heart Failure Score or Myocardial Infarction Score) between physicians reimbursed in a pay for performance scheme and those who receive no additional reimbursement.
Same as current
Complete list of historical versions of study NCT01590290 on ClinicalTrials.gov Archive Site
  • heart failure composite score [ Time Frame: 1 month ] [ Designated as safety issue: No ]
    In patients discharged from the Coronary Care Unit, Acute Coronary Care Service, or General Medical Service with the discharge diagnosis of heart failure there is no difference between rate of compliance with Heart Failure Score between physicians reimbursed in a pay for performance scheme and those who receive no additional reimbursement.
  • myocardial infarction score [ Time Frame: 1 month ] [ Designated as safety issue: No ]
    In patients discharged from the Coronary Care Unit, Acute Coronary Care Service, or General Medical Service with the discharge diagnosis of myocardial infarction there is no difference between the rate of compliance with Myocardial Infarction Score between physicians reimbursed in a pay for performance scheme and those who receive no additional reimbursement.
  • readmission rate [ Time Frame: 30 days ] [ Designated as safety issue: No ]
    In patients discharged from the Coronary Care Unit, Acute Coronary Care Service, or General Medical Service with the discharge diagnosis heart failure there is no difference between 30-day readmission rate between patients that had an appointment less than 7 days and those that did not.
Same as current
Not Provided
Not Provided
 
Randomized Controlled Cluster Trial of Resident Pay for Performance and Cardiovascular Outcomes
Randomized Controlled Cluster Trial of Resident Pay for Performance and Cardiovascular Outcomes

The purpose of this study is to determine if a pay for performance model in contrast to the traditional "fee for service" model may improve the number of patients discharged being treated in accordance with Joint Commission on Health Care JCAHO (a non-for profit organization that accredits health care organizations) standards and standard of care for management of hyperlipidemia

In this study the investigators will evaluate these two models by training resident physicians (doctors in training) on JCAHO core measures and specific criteria related to accepted standard of care for acute myocardial infarction and heart failure. The physicians will be randomized to a pay for performance or a fee for service model. Then a medical record review will be performed on patient records that received a discharge diagnosis of myocardial infarction or heart failure and were cared for by the physician subjects

Not Provided
Interventional
Phase 3
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Myocardial Infarction
  • Heart Failure
Other: financial compensation
financial monetary reimbursement
  • Active Comparator: pay for performance
    Intervention: Other: financial compensation
  • No Intervention: no pay for performance
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
38
Not Provided
April 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Physician inclusion: Resident physician on the Acute Cardiology Service, the Coronary Care Unit, or the General Medicine Service at the University of Virginia
  • Patient inclusion: discharge diagnosis of heart failure or myocardial infarction.

Exclusion Criteria:

  • Residents that are part of the study team
Both
18 Years and older
No
Not Provided
United States
 
NCT01590290
16033
No
Robert Schutt, MD, University of Virginia
University of Virginia
Not Provided
Not Provided
University of Virginia
April 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP