- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT03054090
Heart of Virginia Healthcare (HVH)
Restoring Primary Care in Virginia: PCOR Learning as a Pathway to Value
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
Restoring Primary Care in Virginia: Patient Centered Outcomes Research (PCOR) Learning as a Pathway to Value is an extension of the Virginia Center for Health Innovation's (VCHI) work to address primary care transformation in its Virginia Health Innovation Plan. VCHI, in partnership with four of Virginia's schools of medicine, the Virginia Center for Health Quality (VHQC), and evaluation specialists at George Mason University, will form the Virginia Primary Care Transformation Collaborative (VPCTC). They will use an evidence-based, comprehensive strategy to help up to 300 small-to-medium sized primary care practices: 1) accelerate incorporation of PCOR clinical and organizational findings into practice with an initial focus on cardiovascular health and the Aspirin, Blood Pressure, Cholesterol, and Smoking (ABCS); 2) increase their capacity to integrate new PCOR findings on an on-going basis; and 3) learn strategies that can help them sustain and revitalize their organizations while restoring the joy to primary care practice. Practice supports will include on-site coaching, expert consultation, collaborative learning events, an online support center, and data feedback and benchmarking. As a result of this project, "Restoring Primary Care in Virginia," participating practices will develop stronger Quality Improvement (QI) capacity and learn strategies that can help them sustain and revitalize their organizations while restoring the joy to primary care practice. The value proposition to recruit and retain participating practices includes: Improved financial performance; improved clinician, staff, and patient satisfaction; objectively improved quality of care; improved ability to negotiate for and receive pay for performance bonuses, including Electronic Medical Record (EMR) meaningful use stage 2; completion of Part IV certification by the American Board of Family Medicine (ABFM) and American Board of Internal Medicine (ABIM) for QI work completed in this initiative; and engagement in a self-sustaining learning collaborative of similar practices after the end of the project. The evaluation plan is designed to answer these questions: (1) Did the VPCTC intervention improve the performance of small physician practices in Virginia as measured by the individual ABCS? (2) Which elements of the intervention were most important to the physicians for performance improvement? (3) Did "maintenance" or follow-up intervention activities add value or was the initial intense intervention enough to produce the measured impact? (4) Which internal contextual or structural features of practices at baseline are most likely to be associated with improved performance (e.g., expansive use of EMRs, degree of adaptive reserve or change processing capacity, number of physicians in the practice, etc.)? (5) Did the VPCTC improve the capacity of small physician practices to implement future PCOR findings and improve quality on an ongoing basis? (6) Which elements of the intervention were most important to the physicians for QI capacity building? Multivariate statistical modeling of clinical performance and survey data will be performed to answer questions 1, 3, and 4.
Qualitative interviews, surveys and statistical analysis of survey results will answer questions 2, 5, and 6.
Studientyp
Einschreibung (Tatsächlich)
Phase
- Unzutreffend
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- small to medium sized primary care practices in virginia that serve adults
Exclusion Criteria:
- large sized primary care practices
- pediatric practices
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Versorgungsforschung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
---|---|
Sonstiges: Quality Improvement support
A blended support strategy will include practice facilitation, expert consultation, collaborative learning events, an online support center, and data feedback and benchmarking.
|
Practices will receive a blended strategy of quality improvement facilitation to help participating practices incorporate PCOR clinical and organizational findings while building their overall practice capabilities.
Primary care practices will be provided tools and training to improve the rates of screening and treatment of risk factors for heart attacks and strokes, as well as other chronic illnesses and the delivery of preventive services.
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
---|---|---|
Aspirin prescriptions
Zeitfenster: 3 month
|
Practice level rates of aspirin or other anti-thrombotics being prescribed.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 month
|
Blood pressure
Zeitfenster: 3 months
|
Blood pressure control for hypertensives.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 months
|
Statin prescriptions
Zeitfenster: 3 months
|
Practice level rates of Statins being prescribed for categories of higher risk cholesterol levels.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 months
|
Smoking
Zeitfenster: 3 months
|
Smoking assessment.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 months
|
Smoking
Zeitfenster: 3 months
|
Smoking cessation counseling.
The outcome measure will be assessed from data extracted from practice EMR.
|
3 months
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
---|---|---|
Capacities to incorporate new patient centered outcome research
Zeitfenster: 1 year after intervention
|
Capacities of practices to incorporate new patient centered outcome research into their care of patients.
This outcome measure will be assessed using surveys.
|
1 year after intervention
|
Capacities to incorporate new patient centered outcome research
Zeitfenster: 1 year after intervention
|
Capacities of practices to incorporate new patient centered outcome research into their care of patients.
This outcome measure will be assessed using interviews.
|
1 year after intervention
|
Joy in practice
Zeitfenster: 1 year after intervention
|
This outcome measure will be assessed by way of surveys.
|
1 year after intervention
|
Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Ermittler
- Hauptermittler: Anton Kuzel, MD, Virginia Commonwealth University
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- 1R18HS023913-01 (US-AHRQ-Zuschuss/Vertrag)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .
Klinische Studien zur Quality Improvement Support
-
University of BirminghamEthicon, Inc.; European Society of ColoproctologyRekrutierungAnastomoseninsuffizienz | Anastomose; KomplikationenRussische Föderation
-
Martin-Luther-Universität Halle-WittenbergAbgeschlossenSchmerzen | KrebsDeutschland
-
Universitat Autonoma de BarcelonaAbgeschlossen
-
University of ZurichMakoraAbgeschlossen
-
Umraniye Education and Research HospitalAbgeschlossenSchlafstörung | Chirurgie | Fettleibigkeit, schwerTruthahn
-
Memorial Sloan Kettering Cancer CenterAbgeschlossenAszitesVereinigte Staaten
-
Children's Hospital of Fudan UniversityChina Medical BoardAbgeschlossen
-
Kanuni Sultan Suleyman Training and Research HospitalAbgeschlossenDepression | Schlafen | EndometrioseTruthahn
-
The Miriam HospitalUnbekannt
-
University of AlbertaAbgeschlossenOrganisatorischen Kontext