Targeted Feedback Reports to Improve Acute Coronary Syndromes (ACS) Care

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Duke University
ClinicalTrials.gov Identifier:
NCT00952250
First received: August 4, 2009
Last updated: December 1, 2011
Last verified: December 2011

August 4, 2009
December 1, 2011
February 2009
July 2011   (final data collection date for primary outcome measure)
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 ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00952250 on ClinicalTrials.gov Archive Site
The secondary outcome is improvement in the composite of targeted metrics. [ Time Frame: 12 months ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Targeted Feedback Reports to Improve Acute Coronary Syndromes (ACS) Care
Personalized and Targeted Feedback in the ACTION-Registry-GWTG

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.

Outcomes:

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).

Not Provided
Interventional
Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Acute Coronary Syndromes
  • 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.
  • Behavioral: Targeted Feedback Report
    Report designed to target areas for local hospital-specific improvement
  • Active Comparator: Targeted Feedback Reports
    Conventional feedback reports
    Intervention: Behavioral: Targeted Feedback Reports
  • Experimental: Targeted Feedback Report
    Report designed to target areas for local hospital-specific improvement.
    Intervention: Behavioral: Targeted Feedback Report
Alexander KP, Wang TY, Li S, Lytle BL, Slattery LE, Calhoun S, Poteat J, Roe MT, Rumsfeld JS, Cannon CP, Peterson ED. Randomized trial of targeted performance feedback to facilitate quality improvement in acute myocardial infarction care. Circ Cardiovasc Qual Outcomes. 2011 Jan 1;4(1):129-35. doi: 10.1161/CIRCOUTCOMES.110.958470.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
149
July 2011
July 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • hospitals participating in the ACTION Registry GWTG

Exclusion Criteria:

  • sites with low volume of data submission (< 10 data forms in the past year)
Both
18 Years to 90 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00952250
Pro00010526
No
Duke University
Duke University
Agency for Healthcare Research and Quality (AHRQ)
Principal Investigator: Karen P Alexander, MD Duke University
Duke University
December 2011

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