Testing a Provider-Level Feedback Intervention to Optimize Postoperative Prescribing

Study Overview
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Brief Summary
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The objective of this project is to leverage the Michigan Surgical Quality Collaborative's (MSQC) existing network and surgeon performance feedback platform to improve opioid prescribing practices for surgeons within the network found to be prescribing in a manner discordant with published guidelines and to inform best practices for future surgical quality improvement initiatives. The study is being completed to learn more about the effectiveness, feasibility, and acceptability and that the goal is both to evaluate how effective this intervention and mechanism are for changing surgeon opioid prescribing behavior and to inform best practices for future quality initiatives. The study hypothesizes that provider-level feedback will allow clinicians to tailor postoperative prescribing more closely to patient consumption, and reduce excess postoperative prescribing. The cohort of surgeons which have been identified as outliers by the Michigan Surgical Quality Collaborative (MSQC) will be be invited to participate in this trial. The study team will send surgeons belonging to sites that signed the Exhibit B-1 form the provider-level push notifications (98 participants). In this study de-identified prescribing data will also be analyzed for sites that do not sign the Exhibit B-1 form (105 participants). The study team will approach 98 surgeons receiving the provider-level push notifications in one wave.

Official Title
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Testing a Provider-Level Feedback Intervention to Optimize Postoperative Prescribing - Aim 3 Phase 1

Conditions
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Opioid Prescribing

Intervention / Treatment
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* Behavioral: Push reports


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Surgeons already participating in and sharing data with the Michigan Surgical Quality Collaborative (MSQC) who perform procedures of interest Surgeons within MSQC who have median prescribing > 1 pill equivalents over the published recommendation Surgeons within MSQC who perform surgeries at a hospital that have agreed to participate in this research Exclusion Criteria: Surgeons not identified in the MSQC data as having a valid National Provider Identifier (NPI)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Provider-level push report notifications<br>Push reports will be sent via using a secure email client. The email will be sent to the email address provided to the study team by the surgeon or site. | Behavioral: Push reports<br>* Surgeons in the experimental arm will receive provider-level push report notifications through an email displaying their personal prescribing performance compared to Michigan Opioid Prescribing Engagement Network (OPEN) prescribing guidelines and their de-identified peers. The push report will also include a link to the secure MSQC data platform that displays more information about the case so the surgeon can further investigate prescribing information. The email will also contain contact information for the study team so as to help any surgeons troubleshoot, learn more, request to stop receiving reports, etc.<br>|
| No Intervention: No intervention<br>Sites who did not sign Exhibit B-1. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Opioid Prescribed Following the Intervention | Oral morphine equivalents prescribed adjusted for surgery type as reported through MSQC data. | up to 5 months from enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Surgery