Precision Feedback to Improve Health Care Quality

University of Michigan

Status: Active, not recruiting

Conditions: Anesthesia Care Quality

Treatments: Behavioral: precision-enhanced feedback email messages; Behavioral: standard feedback email messages

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05923463

HUM00194224

R01LM013894-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Enrollment: 3,500 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

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.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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3,500 participants in 2 patient groups

precision-enhanced feedback email messages

Experimental group

Description:

Providers receive an enhanced monthly email containing precision audit and feedback (A\&F).

Treatment:

Behavioral: precision-enhanced feedback email messages

standard feedback email messages

Active Comparator group

Description:

Providers receive the standard "one size fits most" A\&F monthly email.

Treatment:

Behavioral: standard feedback email messages