Centers for Education on Research and Therapeutics - Heart Failure: Targeted Intervention Study

Study Overview
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Brief Summary
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The objective of this study is to evaluate whether a quarterly feedback, education and performance improvement site-based intervention has a greater impact on quality performance and adherence to evidenced-based guidelines than existing on-demand feedback. This study will use a randomized design to compare changes in quality performance and adherence to selected measures among hospitals using existing on-demand reports and general quality improvement (QI) efforts versus those receiving intensive, targeted QI feedback via reports, teleconferences, webinars, and specialized tool kits.

Official Title
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Centers for Education on Research and Therapeutics - Heart Failure: Targeted Intervention Study

Conditions
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Heart Failure

Intervention / Treatment
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* Behavioral: Intensive quality improvement tools


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All sites participating in Get With the Guidelines Heart Failure. Exclusion Criteria: Sites in Get With the Guidelines Heart Failure which opt out of participation.
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: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>Standard quality improvement approaches available through participation in Get With the Guidelines - Heart Failure. | |
| Active Comparator: Intervention<br>Enhanced and/or intensive quality improvement approaches, coupled with standard approaches available through participation in Get With the Guidelines - Heart Failure. | Behavioral: Intensive quality improvement tools<br>* Personalized performance improvement interventions, including premier site data reports, personalized feedback/teleconferences, comprehensive toolkits, and focused webinars; in addition to other general QI tools typically available through participation in Get With the Guidelines Heart Failure.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement in the overall opportunity-based composite of measures eligible for intervention (absolute score difference compared to the control arm) based on the existing Get With the Guidelines Heart Failure Achievement Measures and Quality Measures. |  | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement in Defect Free (all or none) score based on the combined Get With the Guidelines Heart Failure Achievement and Quality Measures |  | 1 year | 
| Improvement in scores of each individual Get With the Guidelines Heart Failure Achievement and Quality Measure |  | 1 year | 
| Improvement in length of stay and in-patient mortality. |  | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Quality Improvement