Report Cards and Feedback for PCCE

Part of paid clinical trials in Los Angeles, California.

Sponsor
University of California, Los Angeles
Study ID
NCT06155292
Status
Recruiting
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Conditions

  • Behavioral Economics
  • Health Maintenance
  • Primary Health Care

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Standard Communication Email — BEHAVIORAL
    This is a standard quarterly email communication without personalized performance metrics.
  • Personalized Report Card Email — BEHAVIORAL
    This personalized information about physician performance replaces the standard communication email to provide personalized feedback to physicians.
  • Bottom-Up Framing — BEHAVIORAL
    The bottom-up framing is added onto the personalized communication email to provide insight on how the PCCE program was informed by physician feedback. The bottom-up framing is added onto the survey communication to provide insight on how the PCCE program was informed by physician feedback.

Study Details

As part of UCLA Health's commitment to developing an integrated health system built on a foundation of physician-led, team-based primary care, the Department of Medicine (DOM) implemented a performance-based incentive plan called the Primary Care Clinical Excellence (PCCE) Incentive Plan. The UCLA Health DOM Quality team is leading the implementation and evaluation of this incentive plan across the UCLA Health primary care network, with the primary goal to immediately produce improvements in the quality of primary care. In order to rigorously measure the most efficacious ways to frame and communicate information about the quality improvement (QI) program, the DOM Quality team has partnered with the UCLA Anderson School of Management. Understanding the factors that motivate physicians to deliver high quality primary care will provide pivotal insights into the successful implementation of performance based programs nationwide.

Key Dates

Start date
Oct 3, 2023
Status verified
Jan 2025
Primary completion
Oct 31, 2024
Completion
Oct 31, 2025

Study Design

Enrollment
330 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Placebo Comparator: Arm 1: Standard Communication Arm
    Quarterly email communication: Quarterly standard communication via email providing a link to physicians to check their PCCE program performance over the prior quarter, and a link to access the PCCE dashboard. The email will also include a link to resources. Starting with the email communication in February 2024, there will be a reminder email sent two weeks after the first email with the same content. Quarterly survey: Quarterly standard communication via survey with questions about physician attitudes and beliefs.
  • Experimental: Arm 2: Personalized Report Card
    Quarterly email communication: Quarterly personalized communication via email providing individualized performance metrics to physicians for the PCCE program from the prior quarter. All the links in the Arm 1 emails will be included in Arm 2 emails. Starting with the email communication in February 2024, there will be a reminder email sent two weeks after the first email with the same content. Quarterly survey: Quarterly standard communication via survey with the same questions about physician attitudes and beliefs as in Arm 1.
  • Experimental: Arm 3: Personalized Report Card + Bottom-Up Framing
    Quarterly email communication as in Arm 2. Bottom-up intervention: The quarterly email communication will also describe the ways in which the PCCE program and its features were informed by physician feedback and recommendations. Quarterly survey: The quarterly survey will include information about the ways in which the PCCE program and its features were informed by physician feedback and recommendations. Physicians will respond to the same questions about physician attitudes and beliefs as in Arms 1 and 2.

Primary Outcome Measure

Physician Behavior: Rate of Engagement with Resources in First Email [ Time Frame: 1 week ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
UCLA Health Department of Medicine, Quality OfficeLos AngelesCalifornia90095
Richard Leuchter, MD
[email protected]

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