Targeted Feedback Reports to Improve Acute Coronary Syndromes (ACS) Care

Study Overview
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Brief Summary
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This project is designed to examine the impact of tailored feedback on site performance. The investigators' objective is to evaluate whether a 'personalized and targeted' feedback, education and performance improvement intervention has a greater impact on adherence to recommended guidelines than standard feedback. The investigators hypothesize that a site-specific report with centrally identified targets for improvement paired with target specific interventions will enable sites to quickly identify and prioritize salient problem areas, have ready access to an analysis of factors that underlie problems, and formulate an effective action plan. The investigators also hypothesize that those hospitals randomized to receive intervention will be more likely to improve their overall performance, as well as their target specific performance, during the period of observation in direct response to activated QI processes. Outcomes: The primary outcome is improvement in the overall composite of all metrics eligible for intervention regardless of their selection as targets. The secondary outcome is improvement in the composite of targeted metrics. Outcomes will be assessed in all participating sites, and in among relevant performance subgroups (low performers, academic centers, full service, and among medication versus process metrics).

Official Title
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Personalized and Targeted Feedback in the ACTION-Registry-GWTG

Conditions
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Acute Coronary Syndromes

Intervention / Treatment
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* Behavioral: Targeted Feedback Reports
* Behavioral: Targeted Feedback Report


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: hospitals participating in the ACTION Registry GWTG Exclusion Criteria: sites with low volume of data submission (< 10 data forms in the past year)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 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: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Targeted Feedback Reports<br>Conventional feedback reports | Behavioral: Targeted Feedback Reports<br>* Sites randomized to this arm will receive specialized feedback summarizing their adherence to the guidelines and suggestions on ways to improve performance.<br>|
| Experimental: Targeted Feedback Report<br>Report designed to target areas for local hospital-specific improvement. | Behavioral: Targeted Feedback Report<br>* Report designed to target areas for local hospital-specific improvement<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The primary outcome is improvement in the overall composite of all metrics eligible for intervention regardless of their selection as targets. |  | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The secondary outcome is improvement in the composite of targeted metrics. |  | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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quality improvement