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A Brief Intervention to Improve Cost-effective Resource Use Among Medicine Housestaff

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01303263
First Posted: February 24, 2011
Last Update Posted: June 22, 2011
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
Partners Center of Expertise in Quality and Patient Safety
Information provided by:
Brigham and Women's Hospital
  Purpose

OBJECTIVE: To test a brief intervention designed to improve the cost-effectiveness of care provided by medicine housestaff for hospitalized patients.

HYPOTHESIS: A brief intervention in which medicine residents receive itemized bills for recent patients cared for by them, followed by a discussion on approaches to reducing unnecessary inpatient costs, can result in significant cost reductions without adversely affecting patient outcomes.


Condition Intervention
Graduate Medical Education Cost-Effectiveness Behavioral: Educational Intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Official Title: A Brief Intervention to Improve Cost-effective Resource Use Among Medicine Housestaff

Further study details as provided by Brigham and Women's Hospital:

Primary Outcome Measures:
  • Total Cost [ Time Frame: 2 weeks following educational intervention ]
    Total hospital cost per admission for 2 weeks following the educational intervention.

  • Lab Cost [ Time Frame: 2 weeks following educational intervention ]
    Total lab cost per admission for 2 weeks following the educational intervention.

  • Pharmacy Cost [ Time Frame: 2 weeks following educational intervention ]
    Total pharmacy cost per admission for 2 weeks following the educational intervention.

  • Radiology Cost [ Time Frame: 2 weeks following educational intervention ]
    Total radiology cost per admission for 2 weeks following the educational intervention.


Secondary Outcome Measures:
  • length of stay [ Time Frame: 2 weeks after educational intervention ]
  • admission to an intensive care unit (ICU) [ Time Frame: 2 weeks after educational intervention ]
  • 30-day readmission [ Time Frame: within 30 days after end of study period ]
  • 30-day mortality [ Time Frame: within 30 days after end of study period ]

Enrollment: 96
Study Start Date: September 2009
Study Completion Date: February 2011
Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Intervention Group
Residents Randomized to Receive Educational Intervention
Behavioral: Educational Intervention
45-minute teaching session on healthcare costs, in which each resident reviewed an itemized hospital bill for a patient he/she had cared for, followed by an open-ended discussion about reducing unnecessary costs.
No Intervention: Control Group
Residents randomized not to receive a teaching intervention.

Detailed Description:
We designed a brief educational intervention with two primary objectives: 1) to increase awareness among residents about how their decisions impact the costs of inpatient medical care; and 2) to improve the cost-effectiveness of care provided by residents without adversely affecting patient outcomes. We hypothesized that a brief intervention in which residents receive bills for patients they recently cared for, followed by a discussion on approaches to reducing unnecessary inpatient costs, would reduce costs without adversely affecting patient outcomes.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Criteria

Inclusion Criteria:

  • Internal Medicine Residents on Inpatient Rotations at Brigham & Women's Hospital

Exclusion Criteria:

  • Having a team member who was in either the control group or intervention group in a prior round of this study.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01303263


Locations
United States, Massachusetts
Brigham & Women's Hospital
Boston, Massachusetts, United States, 02115
Sponsors and Collaborators
Brigham and Women's Hospital
Partners Center of Expertise in Quality and Patient Safety
Investigators
Principal Investigator: David Bates, MD Brigham and Women's Hospital
Study Director: Benjamin D Sommers, MD, PhD Brigham and Women's Hospital
  More Information

Responsible Party: David Bates, Brigham & Women's Hospital
ClinicalTrials.gov Identifier: NCT01303263     History of Changes
Other Study ID Numbers: 2009-P-001758/1; BWH
First Submitted: February 23, 2011
First Posted: February 24, 2011
Last Update Posted: June 22, 2011
Last Verified: February 2011

Keywords provided by Brigham and Women's Hospital:
efficiency
cost-awareness
hospitals
graduate medical education