Targeted Feedback Reports to Improve Acute Coronary Syndromes (ACS) Care
This project is designed to examine the impact of tailored feedback on site performance.
The investigators' objective is to evaluate whether a 'personalized and targeted' feedback, education and performance improvement intervention has a greater impact on adherence to recommended guidelines than standard feedback.
The investigators hypothesize that a site-specific report with centrally identified targets for improvement paired with target specific interventions will enable sites to quickly identify and prioritize salient problem areas, have ready access to an analysis of factors that underlie problems, and formulate an effective action plan. The investigators also hypothesize that those hospitals randomized to receive intervention will be more likely to improve their overall performance, as well as their target specific performance, during the period of observation in direct response to activated QI processes.
The primary outcome is improvement in the overall composite of all metrics eligible for intervention regardless of their selection as targets.
The secondary outcome is improvement in the composite of targeted metrics.
Outcomes will be assessed in all participating sites, and in among relevant performance subgroups (low performers, academic centers, full service, and among medication versus process metrics).
|Acute Coronary Syndromes||Behavioral: Targeted Feedback Reports Behavioral: Targeted Feedback Report|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
|Official Title:||Personalized and Targeted Feedback in the ACTION-Registry-GWTG|
- The primary outcome is improvement in the overall composite of all metrics eligible for intervention regardless of their selection as targets. [ Time Frame: 12 months ]
- The secondary outcome is improvement in the composite of targeted metrics. [ Time Frame: 12 months ]
|Study Start Date:||February 2009|
|Study Completion Date:||July 2011|
|Primary Completion Date:||July 2011 (Final data collection date for primary outcome measure)|
Active Comparator: Targeted Feedback Reports
Conventional feedback reports
Behavioral: Targeted Feedback Reports
Sites randomized to this arm will receive specialized feedback summarizing their adherence to the guidelines and suggestions on ways to improve performance.
Experimental: Targeted Feedback Report
Report designed to target areas for local hospital-specific improvement.
Behavioral: Targeted Feedback Report
Report designed to target areas for local hospital-specific improvement
Please refer to this study by its ClinicalTrials.gov identifier: NCT00952250
|United States, North Carolina|
|Duke University Health System|
|Durham, North Carolina, United States, 27705|
|Principal Investigator:||Karen P Alexander, MD||Duke University|