TY - JOUR
T1 - Randomized trial of targeted performance feedback to facilitate quality improvement in acute myocardial infarction care
AU - Alexander, Karen P.
AU - Wang, Tracy Y.
AU - Li, Shuang
AU - Lytle, Barbara L.
AU - Slattery, Lara E.
AU - Calhoun, Sarah
AU - Poteat, Jennifer
AU - Roe, Matthew T.
AU - Rumsfeld, John S.
AU - Cannon, Christopher P.
AU - Peterson, Eric D.
PY - 2011/1
Y1 - 2011/1
N2 - Background-Efforts to improve quality of care for patients with acute myocardial infarction (AMI) are a national priority. To date, there have been few studies that have prospectively evaluated hospital quality improvement (QI) interventions. Methods and Results-Using hospitals in the National Cardiovascular Data Registry (NCDR) ACTION Registry-GWTG, a cluster randomized trial of the effectiveness of targeted performance feedback to facilitate process improvement for AMI care will be conducted. ACTION Registry-GWTG hospitals with a minimum of 50 AMI patients per 2 quarters are eligible for randomization. The control arm receives standard performance feedback reports, and the intervention arm receives standard performance feedback reports in addition to a supplemental report on the "top 3" centrally identified, hospital-specific performance gaps. The primary outcome will be improvement in a composite of all metrics, and the secondary outcome will be improvement in the targeted metrics. At study inception in January 2009, 149 sites were randomized: 76 to the intervention arm, and 73 to the control arm. Intervention and control sites were well balanced in terms of baseline performance, center characteristics, and AMI volume (-70 patients per quarter). The intervention phase will continue for 5 feedback cycles, each containing 2 quarters of data feedback over 18 months. A final trial outcome report will follow. Conclusions-This randomized trial will evaluate a novel hospital-level QI intervention of targeted performance feedback for AMI, thereby demonstrating the effective use of national registries for QI and furthering our understanding of effective QI methods. Clinical Trial Registration-URL: http://www. clinicaltrials.gov. Unique identifier: NCT00952250. (Circ Cardiovasc Qual Outcomes. 2011;4:129-135.).
AB - Background-Efforts to improve quality of care for patients with acute myocardial infarction (AMI) are a national priority. To date, there have been few studies that have prospectively evaluated hospital quality improvement (QI) interventions. Methods and Results-Using hospitals in the National Cardiovascular Data Registry (NCDR) ACTION Registry-GWTG, a cluster randomized trial of the effectiveness of targeted performance feedback to facilitate process improvement for AMI care will be conducted. ACTION Registry-GWTG hospitals with a minimum of 50 AMI patients per 2 quarters are eligible for randomization. The control arm receives standard performance feedback reports, and the intervention arm receives standard performance feedback reports in addition to a supplemental report on the "top 3" centrally identified, hospital-specific performance gaps. The primary outcome will be improvement in a composite of all metrics, and the secondary outcome will be improvement in the targeted metrics. At study inception in January 2009, 149 sites were randomized: 76 to the intervention arm, and 73 to the control arm. Intervention and control sites were well balanced in terms of baseline performance, center characteristics, and AMI volume (-70 patients per quarter). The intervention phase will continue for 5 feedback cycles, each containing 2 quarters of data feedback over 18 months. A final trial outcome report will follow. Conclusions-This randomized trial will evaluate a novel hospital-level QI intervention of targeted performance feedback for AMI, thereby demonstrating the effective use of national registries for QI and furthering our understanding of effective QI methods. Clinical Trial Registration-URL: http://www. clinicaltrials.gov. Unique identifier: NCT00952250. (Circ Cardiovasc Qual Outcomes. 2011;4:129-135.).
KW - Randomized controlled trials-quality improvement-acute myocardial infarction
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U2 - 10.1161/CIRCOUTCOMES.110.958470
DO - 10.1161/CIRCOUTCOMES.110.958470
M3 - Article
C2 - 21245461
AN - SCOPUS:79959732946
SN - 1941-7713
VL - 4
SP - 129
EP - 135
JO - Circulation: Cardiovascular Quality and Outcomes
JF - Circulation: Cardiovascular Quality and Outcomes
IS - 1
ER -