Assessing Cirrhosis Quality of Care While Accounting for Cost

Assessing Cirrhosis Quality of Care While Accounting for Cost: Is the Patient and/or Caregiver Perspective Associated With Outcomes or Quality Metrics, and What is the Cost of Implementing and Measuring Quality Metrics

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03414398

Enrollment

273

Registered

2018-01-30

Start date

2017-12-26

Completion date

2021-07-01

Last updated

2019-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Liver Cirrhosis

Brief summary

The objective of this study is to determine what influences the patient and caregiver perception of care, and if this perception associates with the percentage of and what quality metrics are being met and outcomes. The investigators also plan to capture the cost of providing quality metrics and the cost of monitoring adherence to quality metrics.

Detailed description

This study will be conducted using mixed-methods. The qualitative part will consist of in person, 1:1, open ended in depth interviews using a standard interview guide with probes. The quantitative part will document subjects meeting or not meeting the quality metrics supported by strong evidence, clinical outcomes, and medical bills.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 80 Years

Inclusion criteria

* primary liver cirrhosis * receiving care at the study cite * no evidence of hepatic encephalopathy if the subject is providing consent

Exclusion criteria

* no documentation of cirrhosis * unable to confirm diagnosis of cirrhosis by imaging or pathology

Design outcomes

Primary

Measure	Time frame	Description
Participant perceptions of care	2 years	Qualitative interview performed where the participant describes their experience of the quality of care they have received.
Relationship of perceptions of quality of care to recent hospitalizations	2 years	Assess associations of qualitative themes that emerge from the qualitative interview with hospitalization frequency
Relationship of perceptions of quality of care to portal hypertension quality metric adherence	2 years	Assess associations of qualitative themes that emerge from the qualitative interview with physician meeting of portal hypertension quality metric (i.e., physician follows the recommended management (yes/no)).

Secondary

Measure	Time frame	Description
Assess if portal hypertension quality metric adherence equates to less hospitalizations	2 years	To see if there is an association of portal hypertension quality metric adherence (i.e. physician follows the recommended management of portal hypertension (yes/no)) to frequency of hospitalizations.
Association of quality metric adherence with survival	2 years	We will explore adherence with proposed portal hypertension quality metric (physician follows the management (yes/no)) to see if there is an association with survival. The quality metric will be identified as either being met or not met, and survival will also be identified as having occurred or not.

Countries

United States

Contacts

Primary ContactNicole T Shen, MD

nts9004@nyp.org3146095911

Outcome results