Anesthesia Care Quality
Conditions
Keywords
Audit and feedback, Anesthesiology, Learning health system
Brief summary
This cluster-randomized trial will assess the effectiveness of a precision feedback service on anesthesia provider performance. The precision feedback service enhances a standard audit and feedback (A&F) email with a brief message and visual display about high-value performance information. The control arm will receive a standard one size fits most A&F email that is currently sent to anesthesia providers each month. Hypothesis: Providers receiving precision feedback will increase a) care quality for improvable measures and b) email engagement (click-through and dashboard login rates) when compared with providers receiving standard A&F emails. The study investigators will assess unintended consequences in a mixed-methods process evaluation.
Interventions
BEHAVIORALprecision-enhanced feedback email messages
Providers receive customized messages prioritizing metrics in an optimal formatting.
BEHAVIORALstandard feedback email messages
Providers receive metrics in a common format.
Sponsors
National Library of Medicine (NLM)
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
(assessed before interventional period): * Participation in the Multicenter Perioperative Outcomes Group (MPOG) provider feedback email program.
Exclusion criteria
(assessed after interventional period): * Ended participation in the MPOG provider feedback email program for any reason during the study period * Changed professional roles (e.g. transitioned from resident to attending) before the end of the intervention period * Changed institutions during the study period * Had no institution-selected quality measures in common between the pre-intervention and intervention period * Were not candidates to receive a precision feedback email for the majority of the trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measure success rate (M) for operative cases of anesthesia care providers | Up to 1 year | The primary outcome for the cluster-randomized controlled trial is the measure success rate (M) for operative cases of anesthesia care providers, where: M = sum of all operative case measurement successes / number of all operative case measurements The measures included in each provider's measure success rate will be all improvable process measures that meet the following inclusion criteria: 1. A provider's cases were included for the measure during both the 6-month pre-intervention period and during the 6-month intervention period. 2. Average performance for the measure is below 90% during the baseline period, based on the MPOG threshold for most process measures. 3. The measure was included in at least one provider feedback email during the intervention period. The investigators will exclude measures of clinical outcomes (also called inverse measures) in this study that are less within the control of providers. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Average email click-through rate (CTR) | Up to 6 months | CTR = 100 x (number of recipient's emails with a clicked link) / (total number of emails) |
| Average dashboard login rate (L) | Up to 1 year | L = 100 x (number of months with an email recipient's dashboard login event) / (total number of months) |
Countries
United States
Outcome results
None listed