Acute Coronary Syndromes
Conditions
Keywords
quality improvement
Brief summary
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).
Interventions
BEHAVIORALTargeted Feedback Reports
Sites randomized to this arm will receive specialized feedback summarizing their adherence to the guidelines and suggestions on ways to improve performance.
BEHAVIORALTargeted Feedback Report
Report designed to target areas for local hospital-specific improvement
Sponsors
Agency for Healthcare Research and Quality (AHRQ)
Duke University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
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)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is improvement in the overall composite of all metrics eligible for intervention regardless of their selection as targets. | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome is improvement in the composite of targeted metrics. | 12 months |
Countries
United States
Outcome results
None listed