Improving Engagement With a Process Measure Dashboard Through Precision Feedback

University of Michigan

Status: Completed

Conditions: Behavior

Treatments: Behavioral: Dashboard; Behavioral: Precision Feedback Push

Study type: Interventional

Funder types: Other

Identifiers

NCT06465667

HUM00248876

Details and patient eligibility

About

The study seeks to assess the impact of e-mailing specific, targeted, practice-pattern based information ("precision feedback") on provider engagement with a dashboard for a quality process measure (showing stent omission after pre-stented ureteroscopy), compared with generic information ("one size fits most" feedback).

Full description

The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a state-wide, physician-led quality improvement collaborative comprised of over 40 urology practices representing varied practice sites within Michigan and nationally, designed to evaluate and improve the quality of urologic care.

A recently identified area for quality improvement within MUSIC is avoidance of placing ureteral stents following uncomplicated ureteroscopy and lithotripsy for kidney stones. Such unnecessary stents do not measurably increase post-operative safety, but rather have been shown to contribute to unnecessary emergency department visits. This process measure (stent omission after uncomplicated ureteroscopy) is the subject matter for the dashboard and will serve as the focus of precision feedback.

The study team hypothesizes that a behavior change intervention bundle consisting of "precision feedback" along with communication strategies to simplify access to feedback will increase dashboard engagement (measured via click-through rate and dashboard logins) compared with standard "one size fits most" e-mail messages. Knowledge gained from this study will inform the development of other precision feedback programs within our urology quality improvement collaborative (MUSIC), and provide a framework for rapid, pragmatic trials for small to mid-sized collaborative quality initiatives nationally.

Enrollment: 100 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

-Urologists participating in MUSIC that were in the top one hundred individuals in annual case volume from 2023 for "pre-stented ureteroscopy", the case for which the dashboard contents are most relevant.

Exclusion criteria

- Urologists that are not in the top one hundred individuals in annual "pre-stented ureteroscopy" case volume, urologists in the study team, or that opt out from the study at the individual or site level.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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100 participants in 4 patient groups

Group 1 dashboard (3 months) then dashboard with Precision feedback (12 months)

Experimental group

Description:

Months 0-3 dashboard only, months 3-15 months dashboard with Precision feedback.

Treatment:

Behavioral: Precision Feedback Push

Behavioral: Dashboard

Group 2 dashboard (6 months) then dashboard with Precision feedback (6 months)

Experimental group

Description:

Months 0-6 dashboard only, months 6-15 months dashboard with Precision feedback.

Treatment:

Behavioral: Precision Feedback Push

Behavioral: Dashboard

Group 3 dashboard (9 months) then dashboard with Precision feedback (6 months)

Experimental group

Description:

Months 0-9 dashboard only, months 9-15 months dashboard with Precision feedback.

Treatment:

Behavioral: Precision Feedback Push

Behavioral: Dashboard

Group 4 dashboard (12 months) then dashboard with Precision feedback (3 months)

Experimental group

Description:

Months 0-12 dashboard only, months 12-15 months dashboard with Precision feedback.

Treatment:

Behavioral: Precision Feedback Push

Behavioral: Dashboard